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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1326026915 | NPPES |
| Georgia | MEDICAID | 000864179D | |
| Georgia | MEDICAID | 000864179E |
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