Individual
DR. GEORGE H. WAKEFIELD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 PARK PL, MONTGOMERY, AL 36106-1149
(334) 293-8747
Mailing address
1825 PARK PL, MONTGOMERY, AL 36106-1149
(334) 293-8747
(334) 834-2185
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00013733
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009926595
—
AL
Enumeration date
12/09/2005
Last updated
06/16/2010
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