Wallace, Carter Douglas
Wallace, Carter Douglas is an individual health care provider with primary practice located at 2200 Hamilton Rd Ste B , Columbus GA 31904-8856. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Wallace, Carter Douglas can be contacted via phone (706) 655-8800.Contact Information
Primary practice address
2200 Hamilton Rd Ste B
Columbus GA 31904-8856
Phone: (706) 655-8800
Fax: (205) 638-7455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.35643 | Alabama |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD.35643 | Alabama |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 90501 | Georgia |
Profile Details
NPI number | 1497037899 |
---|---|
LBN Legal business name | Wallace, Carter Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2011 |
Last updated | Aug 22nd, 2022 - about 3 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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