DR. ROBERT WALLACE, M.D.
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1780015610
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Nuclear Radiology | 2085N0904X | No | 13317 (GA) |
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | 13317 (GA) |
| Radiology - Diagnostic Ultrasound | 2085U0001X | No | 13317 (GA) |
Frequently Asked Questions
NPI 1780015610 is the National Provider Identifier for DR. ROBERT WALLACE, M.D., a Radiology - Diagnostic Radiology provider located in Fortson, GA. This NPI was enumerated on December 3, 2013.
DR. ROBERT WALLACE, M.D. practices at 1130 GOAT ROCK ROAD, Fortson, GA 31808.
Quick Facts
- NPI
- 1780015610
- Type
- Individual
- Enumerated
- Dec 3, 2013
- Last Updated
- Dec 3, 2013
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