Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TREVOR J WALLACE, PA-C
ActiveMR. TREVOR J WALLACE, PA-C is a Physician Assistant healthcare provider located in OAK RIDGE, Tennessee. NPI 1396281200 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OAK RIDGE, TN
Registration Details
- NPI Number
- 1396281200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2017 (9.5652755685063 yrs)
- Last Updated
- Nov 19, 2024
- Licenses
-
8236 (GA)6270 (TN)
Practice Information
- Address
-
988 OAK RIDGE TPKE STE 100OAK RIDGE, TN, 378306919Browse TN providers · Browse ZIP 37830
- Phone
- 8656904861
- Fax
- 8654834194
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OAK RIDGE, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY ANN DYMOND | PAC | 1649263419 |
| DAVID W DRUM | PA-C | 1942286935 |
| ANDREW C MORGAN | P.A. | 1558339002 |
| MRS. DAVINA S BLAZER | PA-C | 1598733958 |
| MR. ROBERT W. CUMMINGS | P.A.-C. | 1306887971 |
| TERRY L HALLWACHS | PA | 1962448860 |
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.