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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CARTER DOUGLAS WALLACE, MD

Active

MR. CARTER DOUGLAS WALLACE, MD is a Pediatric Gastroenterology healthcare provider located in COLUMBUS, Georgia. NPI 1497037899 is currently active in the NPPES registry. Verify at CMS.

Pediatric Gastroenterology · COLUMBUS, GA

Registration Details

NPI Number
1497037899
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2011 (14.873560280667 yrs)
Last Updated
Aug 22, 2022
Licenses
MD.35643 (AL)
MD.35643 (AL)
90501 (GA)

Practice Information

Address
2200 HAMILTON RD STE B
COLUMBUS, GA, 319048856
Browse GA providers · Browse ZIP 31904
Phone
7066558800
Fax
2056387455
Primary Specialty
Pediatric Gastroenterology
2080P0206X
Additional Specialty
Pediatric Gastroenterology
Additional Specialty
Pediatric Gastroenterology

Other Pediatric Gastroenterology Providers in COLUMBUS, GA

Name Credential NPI
SYED SHAUKAT ALI M.D. 1982685244
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.