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1871706960
ERIC WALLACE
BIRMINGHAM, AL
NPI
1871706960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: AL 28356)
Enumeration Date
2007-05-07
Last Update Date
2023-06-28
Business Address
ERIC WALLACE
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 800-822-8816
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Mailing Address
ERIC WALLACE
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number:
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