CONNIE WALLACE, PA-C
Physician Assistant
Active
Individual
NPI: 1619179132
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 102472 (NC) |
| Physician Assistant | 363A00000X | Yes | 102472 (NC) |
Frequently Asked Questions
NPI 1619179132 is the National Provider Identifier for CONNIE WALLACE, PA-C, a Physician Assistant provider located in Huntersville, NC. This NPI was enumerated on June 5, 2007.
CONNIE WALLACE, PA-C practices at 10030 GILEAD RD STE 201, Huntersville, NC 28078.
Quick Facts
- NPI
- 1619179132
- Type
- Individual
- Enumerated
- Jun 5, 2007
- Last Updated
- Aug 23, 2022
Nearby Providers
-
DR. BRYAN KREEB, DDS
Dentist - General Practice
-
DR. KELLY KREEB, DDS
Dentist - General Practice
-
MRS. GINA BRUN, M.S., CCC-SLP
Speech-Language Pathologist
-
LINDA WINEGARDNER, MD
Family Medicine
-
DEBORAH GREY, LMHCA
Counselor - Mental Health