Organization
HRT LLC
Active
Other names
DBA NU-Genetx
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RILEY WALLACE (ADMINISTRATOR)
(256) 490-9421
Entity
Organization
Contact information
Practice address
1423 GADSDEN HWY, 115, BIRMINGHAM, AL 35235-3152
(256) 413-3241
(256) 413-3241
Mailing address
1423 GADSDEN HWY, 115, BIRMINGHAM, AL 35235-3152
(256) 413-3241
(256) 413-3241
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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