Wallace, Alexis Nicole

Wallace, Alexis Nicole is an individual health care provider with primary practice located at Augusta University Medical Center , 1120 15Th St GA 30912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wallace, Alexis Nicole can be contacted via phone (706) 721-2273.

Contact Information

Primary practice address
Augusta University Medical Center 1120 15Th St GA 30912
Phone: (706) 721-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LL84507 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12864 Georgia

Profile Details

NPI number 1245856822
LBN Legal business name Wallace, Alexis Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2020
Last updated Dec 15th, 2021 - 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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