Wallace, Franc

Wallace, Franc is an individual health care provider with primary practice located at 308 Coliseum Drive Suite 120, Macon GA 31217-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wallace, Franc can be contacted via phone (478) 745-6130.

Contact Information

Primary practice address
308 Coliseum Drive Suite 120 Macon GA 31217-3808
Phone: (478) 745-6130
Fax: (478) 750-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 048582 Georgia

Profile Details

NPI number 1326026915
LBN Legal business name Wallace, Franc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Nov 23rd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326026915 NPPES
Georgia MEDICAID 000864179D
Georgia MEDICAID 000864179E

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