Provider Demographics
NPI:1609838754
Name:ALABAMA NEONATAL MEDICINE PC
Entity Type:Organization
Organization Name:ALABAMA NEONATAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WALLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-281-7523
Mailing Address - Street 1:2019 NORMANDIE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2711
Mailing Address - Country:US
Mailing Address - Phone:334-281-7523
Mailing Address - Fax:334-281-7912
Practice Address - Street 1:2019 NORMANDIE DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2711
Practice Address - Country:US
Practice Address - Phone:334-281-7523
Practice Address - Fax:334-281-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty