TINA WALLACE
NPI 1164004420
Home Infusion in Birmingham, AL
About Tina Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA WALLACE (NPI 1164004420) is an individual home infusion provider in Birmingham, Alabama and active in the NPI registry since April 2021.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tina Wallace's NPI number?
The NPI number for Tina Wallace is 1164004420. It was assigned to this individual provider in the NPPES registry on April 26, 2021.
Where is Tina Wallace located?
Tina Wallace practices at 2408 Carson Rd Unit 1, Birmingham, AL 35215. The listed phone number is (205) 757-0249.
What is Tina Wallace's specialty?
The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.
When was this NPI record last updated?
The NPPES record for Tina Wallace was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tina Wallace · NPI 1164004420
Home Infusion provider in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since April 26, 2021.
## Identity
- **NPI:** 1164004420 (Entity type: Individual)
- **Enumerated:** April 26, 2021
- **Primary specialty:** Home Infusion · taxonomy 251F00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2408 CARSON RD UNIT 1, Birmingham, AL 35215-3102
- **Phone:** (205) 757-0249
## Record status
- **NPPES last updated:** April 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164004420) · Data from the CMS NPPES public registry.