According to our database, the NPI number for Ellis J Wallace PA-C is 1538241815 and activated since 17 years ago. Ellis J Wallace PA-C is an individual provider who specializes in Medical, and the primary practice location is 1061 Harmon Ave, Fort Stewart, GA 31314. You can also contact Ellis J Wallace PA-C via telephone number is (912) 435-6633. Provider NPI information was last updated on 03/10/2011.

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Overview of Ellis J Wallace PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/19/2006
  • Last updated: 03/10/2011

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 002533
  • License State: GA

Provider Mailing Address

  • Address: 1061 Harmon Ave
    Ste 1 D03
    Fort Stewart, GA 31315
  • Phone: 912-435-6633
  • Fax: 912-435-5379

Provider Practice Location

  • Address: 1061 Harmon Ave
    Fort Stewart, GA 31314
  • Phone: 912-435-6633
  • Fax: 912-435-5379

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 002533
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00560436K
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

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 Ellis J Wallace PA-C?
  • A: The npi number for Ellis J Wallace PA-C is 1538241815.
  • Q: What are Ellis J Wallace PA-C's specialties?
  • A: Ellis J Wallace PA-C's specialties are Medical and different specialities.
  • Q: What is the medical license for Ellis J Wallace PA-C?
  • A: The medical license number for Ellis J Wallace PA-C is 002533 and issued in GA in USA.
  • Q: Where is Ellis J Wallace PA-C practice location?
  • A: Ellis J Wallace PA-C is practicing at 1061 Harmon Ave, Fort Stewart, GA 31314.
  • Q: How to contact Ellis J Wallace PA-C?
  • A: You can contact Ellis J Wallace PA-C via 912-435-6633.