Individual
MARIA D WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 26TH ST S, 2ND FLOOR, BIRMINGHAM, AL 35205-2412
(205) 397-1278
(205) 201-7722
Mailing address
1020 26TH ST S, 2ND FLOOR, BIRMINGHAM, AL 35205-2412
(205) 397-1278
(205) 201-7722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11483
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000013244
—
AL
01
—
51013244
BCBS
AL
Enumeration date
08/03/2006
Last updated
01/04/2010
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