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Individual

STEWART D. WADDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 OFFICE PARK CIR, STE 202, BIRMINGHAM, AL 35223-2512
(205) 870-8822
(205) 871-8394
Mailing address
PO BOX 130879, BIRMINGHAM, AL 35213-0879
(205) 870-8822
(205) 871-8394

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
AL14837
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-78916
BCBS OF AL #
AL
Enumeration date
03/29/2007
Last updated
07/09/2007
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