Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRELL RICHARD WALLACE JR., PA C
ActiveMR. TERRELL RICHARD WALLACE JR., PA C is a Medical Physician Assistant healthcare provider located in WARNER ROBINS, Georgia. NPI 1356399828 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WARNER ROBINS, GA
Registration Details
- NPI Number
- 1356399828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2006 (20.258230176996 yrs)
- Last Updated
- Sep 18, 2012
- License
-
002665 (GA)
Practice Information
- Address
-
136 SOUTH HOUSTON LAKE ROADWARNER ROBINS, GA, 31088Browse GA providers · Browse ZIP 31088
- Phone
- 4789531020
- Fax
- 4789535406
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WARNER ROBINS, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. LANA K LOTT | PA-C | 1629026117 |
| MS. DEBORAH J BESSINGER | P.A. | 1952490302 |
| PAUL D DESSART | PA-C | 1669592093 |
| MRS. AMANDA KNAUER HALE | PA-C | 1235432519 |
| JAMIE BATTLE GIVENS | PA-C | 1598027740 |
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.