Individual
ALICIA HART-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35209-6715
(205) 726-2835
Mailing address
800 LAKESHORE DR, BIRMINGHAM, AL 35209-6715
(205) 726-2835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-148692
AL
363LF0000X
Family Nurse Practitioner
Primary
1-148692
AL
Other
Enumeration date
02/09/2021
Last updated
01/30/2023
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