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Contact Information

DR TAMMY WALLACE LLC
1234 ANDREWS AVE
SUITE E
OZARK, AL36360-3767
 Phone: 334-445-3937
 Fax: 334-445-3938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR TAMMY WALLACE LLC

NPI # 1295118255
LBN Legal business name DR TAMMY WALLACE LLC
Authorized official TAMMY WALLACE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2015
Last updated 07/08/2015 - About 11 years ago
Identifiers
AL License # S-C02-TA-822
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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