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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN CHARLES WALLACE

Active

BRIAN CHARLES WALLACE is a Physician Assistant healthcare provider located in MOUNT HOLLY, North Carolina. NPI 1114378759 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MOUNT HOLLY, NC

Registration Details

NPI Number
1114378759
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2016 (9.9957168670617 yrs)
Last Updated
Jul 6, 2016
License
0010-06531 (NC)

Practice Information

Address
125 W CATAWBA AVE
MOUNT HOLLY, NC, 281201601
Browse NC providers · Browse ZIP 28120
Phone
7048273014
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MOUNT HOLLY, NC

Name Credential NPI
JOHN MARTIN BRADSHAW PA-C 1588650394
ROSE MARY WILLIAMS PA 1811167703
REILLY BRIELLE KILPATRICK PA 1487261509
THOMAS DANE ROBINSON PA 1093489866
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.