Connie Sue Wallace PA-C

  • NPI 1619179132
According to our database, the NPI number for Connie Sue Wallace PA-C is 1619179132 and activated since 16 years ago. Connie Sue Wallace PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 125 Queens Rd Ste 330, Charlotte, NC 28204. You can also contact Connie Sue Wallace PA-C via telephone number is (704) 384-5043. Provider NPI information was last updated on 06/16/2021.

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Overview of Connie Sue Wallace PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/05/2007
  • Last updated: 06/16/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 102472
  • License State: NC

Provider Mailing Address

  • Address: Po Box 60447
    Charlotte, NC 28260
  • Phone: 704-384-5043
  • Fax: 704-384-8895

Provider Practice Location

  • Address: 125 Queens Rd Ste 330
    Charlotte, NC 28204
  • Phone: 704-384-5043
  • Fax: 704-384-8895

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 102472
  • License State: NC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 159XJ
  • Identifier Type: Other
  • Identifier State: NC
  • Issuer: BCBS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Connie Sue Wallace PA-C?
  • A: The npi number for Connie Sue Wallace PA-C is 1619179132.
  • Q: What are Connie Sue Wallace PA-C's specialties?
  • A: Connie Sue Wallace PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Connie Sue Wallace PA-C?
  • A: The medical license number for Connie Sue Wallace PA-C is 102472 and issued in NC in USA.
  • Q: Where is Connie Sue Wallace PA-C practice location?
  • A: Connie Sue Wallace PA-C is practicing at 125 Queens Rd Ste 330, Charlotte, NC 28204.
  • Q: How to contact Connie Sue Wallace PA-C?
  • A: You can contact Connie Sue Wallace PA-C via 704-384-5043.