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

MR. ALFRED WALLACE JR.

Active

MR. ALFRED WALLACE JR. is a Driver healthcare provider located in WILLIAMSBURG, Virginia. NPI 1518614734 is currently active in the NPPES registry. Verify at CMS.

Driver · WILLIAMSBURG, VA

Registration Details

NPI Number
1518614734
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2022 (4.4532809220514 yrs)
Last Updated
Mar 8, 2022

Practice Information

Address
4703 REVOLUTIONARY WAY
WILLIAMSBURG, VA, 231887588
Browse VA providers · Browse ZIP 23188
Phone
8045437493
Primary Specialty
Driver
172A00000X

Other Driver Providers in WILLIAMSBURG, VA

Name Credential NPI
PATRINA WALKER 1609257567
RAMON CANNADY JR. 1326784836
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.