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Search › Alabama › 208600000X

Jeffrey Wallace, MD

NPI 1548262108 · on the registry since 2005

Practice

Address
411 N Section St
Fairhope, AL 36532
Phone
(251) 928-9090
Fax
(251) 990-0520
Organisation at this address
Clearlyusa.Com, L.L.C.
Bay Eyes Surgery Center
Bay Eyes Spectacular, Inc
Gulf Health Hospitals, Inc
Eastern Shore Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
2083P0011X
208D00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama