Cleveland, Wallace D
Cleveland, Wallace D is an individual health care provider with primary practice located at 300 E Hospital Rd , Fort Gordon GA 30905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cleveland, Wallace D can be contacted via phone (706) 787-7300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1821510033 |
|---|---|
| LBN Legal business name | Cleveland, Wallace D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2017 |
| Last updated | Aug 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Putnam, Helen Minnetta
300 E. Hospital Road Eisenhower Army Medical Center, Fort Gordon GA 30905-5650 -
Brummett, Aiden Ross
300 East Hospital Road , Fort Gordon GA 30905-5650 -
Suer, Susan Garman
Eisenhower Army Medical Center East Hospital Road, Fort Gordon GA 30905 -
Sanders, John David
300 W Hospital Rd , Fort Gordon GA 30905-5741 -
Hiener, Pamela Ann
300 W Hospital Rd Attn Credentials, Fort Gordon GA 30905-5741 -
Erne, Signe Alexis
300 W Hospital Road Od Eisenhower Army Medical Center, Fort Gordon GA 30905-5650 -
Hilyard, Daryl
300 E. Hospital Road , Fort Gordon GA 30905 -
Roland, Kenneth B.
300 W. Hospital Road Eisenhower Army Medical Center, Fort Gordon GA 30905-2720