Organization
KARA M WALLACE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S. ANTHONY (OFFICE MANAGER)
(256) 533-5211
Entity
Organization
Contact information
Practice address
4650 WHITESBURG DR SW, SUITE 204, HUNTSVILLE, AL 35802-1670
(256) 533-5211
(256) 533-5084
Mailing address
4650 WHITESBURG DR SW, SUITE 204, HUNTSVILLE, AL 35802-1670
(256) 533-5211
(256) 533-5084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23260
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051510722
BLUECROSSAND BLUESHIELD
AL
Enumeration date
02/23/2006
Last updated
03/24/2016
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