Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL ROBERT WALLACE, DPM
ActiveDR. MICHAEL ROBERT WALLACE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in VALDOSTA, Georgia. NPI 1295828416 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · VALDOSTA, GA
Registration Details
- NPI Number
- 1295828416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.840270036435 yrs)
- Last Updated
- Sep 18, 2013
- License
-
599 (GA)
Practice Information
- Address
-
2800 N OAK STVALDOSTA, GA, 316021716Browse GA providers · Browse ZIP 31602
- Phone
- 2292441211
- Fax
- 2292442721
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY E PITTS | DPM | 1952361024 |
| DR. DEVIN LEE DAUGHERTY | DPM | 1780777904 |
| ANDREW D WOODS | DPM | 1770893752 |
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.