Individual
MR. CLINTON BARRETT WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
709 DOWNTOWNER LOOP W, MOBILE, AL 36609-5503
(251) 380-1111
(251) 380-1110
Mailing address
709 DOWNTOWNER LOOP W, MOBILE, AL 36609-5503
(251) 380-1111
(251) 380-1110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2224
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51514463
BCBS PROVIDER NUMBER
AL
Enumeration date
06/02/2006
Last updated
08/24/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us