Duncan, Wallace
Duncan, Wallace is an sole proprietor health care provider with primary practice located at 5900 Hillandale Dr Annex E, Lithonia GA 30058-3802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Duncan, Wallace can be contacted via phone (770) 987-8400.Contact Information
Primary practice address
5900 Hillandale Dr Annex E
Lithonia GA 30058-3802
Phone: (770) 987-8400
Fax: (770) 987-8494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 041109 | Georgia |
Profile Details
| NPI number | 1821153529 |
|---|---|
| LBN Legal business name | Duncan, Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 25th, 2006 |
| Last updated | Oct 17th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821153529 | NPPES |
| Georgia | MEDICAID | 00687893G |
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