Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA WALLACE
Active Sole ProprietorTINA WALLACE is a Home Infusion healthcare provider located in BIRMINGHAM, Alabama. NPI 1164004420 is currently active in the NPPES registry. Verify at CMS.
Home Infusion · BIRMINGHAM, AL
Registration Details
- NPI Number
- 1164004420
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2021 (5.3242369077159 yrs)
- Last Updated
- Apr 26, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
2408 CARSON RD UNIT 1BIRMINGHAM, AL, 352153102Browse AL providers · Browse ZIP 35215
- Phone
- 2057570249
- Primary Specialty
-
Home Infusion
251F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.