Combs, Wallace Mason
Combs, Wallace Mason is an individual health care provider with primary practice located at 61 Memorial Medical Parkway Suite 3811, Palm Coast FL 32164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Combs, Wallace Mason can be contacted via phone (386) 586-6611.Contact Information
Primary practice address
61 Memorial Medical Parkway Suite 3811
Palm Coast FL 32164
Phone: (386) 586-6611
Fax: (386) 586-6633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME55590 | Florida |
Profile Details
| NPI number | 1437257532 |
|---|---|
| LBN Legal business name | Combs, Wallace Mason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 17th, 2020 - about 4 years ago |
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.
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