IndividualActive
Nicholas Van Wagoner
NPI 1891816690 · Infectious Disease Physician · Birmingham, AL
Provider details
- NPI number
- 1891816690
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 27161 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1717 6th Ave S
Birmingham, AL 35233-1801
Phone: (800) 822-8816
Approximate (ZIP-level) locationGet directions
Mailing address
1717 6th Ave S
Birmingham, AL 35233-1801
Additional practice locations (1)
- 619 19th St SBirmingham, AL 35233-1900Phone: (205) 934-5191
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2023-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.