Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN CHARLES WALLACE
ActiveBRIAN 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 AVEMOUNT HOLLY, NC, 281201601Browse 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.