National Provider Identifier Database

STEPHENIE B WALLACE, MD – NPI #1417977646
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

STEPHENIE B WALLACE, MD
1600 7TH AVE S
BIRMINGHAM, AL35233-1711
Phone: 205-939-9345
Fax: 205-975-7307
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for STEPHENIE B WALLACE

NPI Number 1417977646
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 01/13/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • AL License #: 25999
  • AL Medicaid: 009958245
  • AL Medicaid: 009958265
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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