Vicki Jo Wallis, MD

Pediatrics Physician · Gadsden, AL

Individual Active NPI

NPI number 1689623142

Practice location

829 Riverbend Dr
Gadsden, AL 35901-2556
Phone
(256) 546-4611
Fax
(256) 546-2214

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NPI record

NPI
1689623142
Entity type
Individual (Type 1)
Enumeration date
May 10, 2006
Last updated
June 5, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 22626 AL

About Dr. Wallis

Vicki Jo Wallis, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 829 Riverbend Dr, Gadsden, AL 35901-2556. The NPI number 1689623142 was assigned on May 10, 2006 and the record was last updated on June 5, 2013.

Dr. Wallis lists a license in the registry: #22626 (AL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Vicki Jo Wallis, MD?

The NPI number is 1689623142.

What is the phone number of Dr. Wallis?

The phone number listed for the practice location is (256) 546-4611.

Where is Dr. Wallis located?

829 Riverbend Dr, Gadsden, AL 35901-2556.

What is the taxonomy code for Dr. Wallis?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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