Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY RHETT WALLACE, M.D., FAAFP
ActiveFamily Medicine · FORT BRAGG, NC
Registration Details
- NPI Number
- 1962484634
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2005 (20.425083597816 yrs)
- Last Updated
- Jul 8, 2007
- License
-
J8821 (TX)
Practice Information
- Address
-
BLDG 5-4257BASTOGNE EXTENSIONFORT BRAGG, NC, 283100001Browse NC providers · Browse ZIP 28310
- Phone
- 9109079560
- Fax
- 9109079818
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FORT BRAGG, NC
| Name | Credential | NPI |
|---|---|---|
| DR. JESSICA TUCKER | MD | 1740283001 |
| DR. JOHN JAMES LAMMIE | MD | 1144229857 |
| DR. COLIN M GREENE | MD | 1982693792 |
| DR. RONALD ALLEN MAUL | D.O. | 1700867504 |
| DR. RYAN ALEC WITHROW | D.O. | 1497737548 |
| DR. DANA NGUYEN | MD | 1659359065 |
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.