Individual
WESLEY F LISTER-WINEBRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3940 MONTCLAIR ROAD, SUITE 410, BIRMINGHAM, AL 35213-2421
(205) 879-7066
(205) 871-5066
Mailing address
3940 MONTCLAIR ROAD, SUITE 410, BIRMINGHAM, AL 35213-2421
(205) 879-5066
(205) 871-5066
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA920
TN
363A00000X
Physician Assistant
Primary
PA920
TN
363AS0400X
Surgical Physician Assistant
842
AL
Other
Enumeration date
05/23/2006
Last updated
03/22/2013
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