Individual
ANNA LEE WALDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 MAYFIELD CT, DOTHAN, AL 36305-1241
(334) 618-0486
Mailing address
106 MAYFIELD CT, DOTHAN, AL 36305-1241
(334) 618-0486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31056
AL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
31056
AL
208D00000X
General Practice Physician
061678
GA
Other
Enumeration date
09/23/2008
Last updated
11/18/2015
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