IndividualActive
Abdul-Wali Siddiq
NPI 1902743446 · Driver · Phenix City, AL
Provider details
- NPI number
- 1902743446
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9633859 (AL)
Specialties & taxonomies
Other Service Providers
Practice location
149 Lee Road 974
Phenix City, AL 36870-6891
Phone: (716) 335-8502
Approximate (ZIP-level) locationGet directions
Mailing address
149 Lee Road 974
Phenix City, AL 36870-6891
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.