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Individual

ALEXANDRIA WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4810 WHITESPORT CIR SW STE 110, HUNTSVILLE, AL 35801-7439
(205) 977-9876
(205) 977-9976
Mailing address
707 W MARKET ST STE C, ATHENS, AL 35611-2463
(256) 444-1815
(256) 444-0385

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143113
AL

Other

Enumeration date
12/14/2018
Last updated
03/31/2026
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