Warren L Wallace (NPI# 1679560965, PAC ID# 6002712973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1679560965 |
PAC ID by PECOS | 6002712973 |
Professional Enrollment ID | I20031210001031 |
Full Name | Warren L Wallace |
Address |
1900 Christine Ave Anniston AL 36207-3263 |
Phone Number | 2562370752 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
Graduation Year | 1972 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010038 | STRINGFELLOW MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1900 Christine Ave, Anniston, AL 36207-3263 | 2562370752 |
Street Address |
1900 CHRISTINE AVE |
City | ANNISTON |
State | AL |
Zip | 36207-3263 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher Hardin Law | Chiropractic | 1401 Hillyer Robinson Pkwy, Anniston, AL 36207 | |
Coy A Bolton | Chiropractic | 1401 Hillyer Robinson Pkwy A, Anniston, AL 36207 | |
Brandi Nicole Meads | Nurse Practitioner | Sanatio Health Inc | 2111 Hwy 78 E, Suite 3, Anniston, AL 36207-2067 |
Judith Thompson | Clinical Social Worker | 2700 Brighton Ave, Anniston, AL 36207-2974 | |
Keith A Barrett | General Surgery | Regional Health Management Corporation | 1900 Leighton Ave, Suite 201, Anniston, AL 36207-3206 |
Clifford P Black Jr. | General Surgery | Anniston General Surgery Center, P.C. | 1901 Leighton Ave, Anniston, AL 36207-3270 |
Lei Liu | General Surgery | Anniston General Surgery Center, P.C. | 1901 Leighton Ave, Anniston, AL 36207-3270 |
Lauren M Waltz | Physician Assistant | Anniston General Surgery Center, P.C. | 1901 Leighton Ave, Anniston, AL 36207-3270 |
Pankaj K Kashyap | Gastroenterology | 1720 Leighton Ave, Anniston, AL 36207-3811 | |
Mohammad Kamran | Cardiovascular Disease (cardiology) | 1700 Christine Ave, Suite 100, Anniston, AL 36207-3813 | |
Find all physicians in zip 36207 |
City | ANNISTON |
Zip Code | 36207 |
Specialty | GENERAL PRACTICE |
City + Specialty | ANNISTON + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.