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Individual

DR. ELEANOR BATES WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28334
AL
208M00000X
Hospitalist Physician
Primary
28334
AL

Other

Enumeration date
05/03/2007
Last updated
03/05/2020
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