Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD ALTON WALLACE, MD
ActiveDR. EDWARD ALTON WALLACE, MD is a Anesthesiology healthcare provider located in CONWAY, South Carolina. NPI 1255486452 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · CONWAY, SC
Registration Details
- NPI Number
- 1255486452
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.585734835258 yrs)
- Last Updated
- Dec 21, 2016
- License
-
13597 (SC)
Practice Information
- Address
-
300 SINGLETON RIDGE RDCONWAY, SC, 295269142Browse SC providers · Browse ZIP 29526
- Phone
- 8436695162
- Fax
- 8436695162
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in CONWAY, SC
| Name | Credential | NPI |
|---|---|---|
| SUSAN J HASKIN | MD | 1871645440 |
| FRANK F HUMBLES | MD | 1902958572 |
| DR. CASMIR MICHAL KIELAR | MD | 1326260167 |
| DR. IHOR V MELNYTSKYY | M.D. | 1184882789 |
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.