Provider Demographics
NPI:1598881666
Name:WHARTON, ALISON C (MPH RD LD CDE)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:C
Last Name:WHARTON
Suffix:
Gender:F
Credentials:MPH RD LD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 MONTCLAIR RD
Mailing Address - Street 2:TRINITY MEDICAL CENTER, DIABETES EDUCATION
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1908
Mailing Address - Country:US
Mailing Address - Phone:205-592-1554
Mailing Address - Fax:205-592-5946
Practice Address - Street 1:820 MONTCLAIR RD
Practice Address - Street 2:TRINITY MEDICAL CENTER, DIABETES EDUCATION
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1908
Practice Address - Country:US
Practice Address - Phone:205-592-1554
Practice Address - Fax:205-592-5946
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL819133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist