Wallace, Gary Rhett

Wallace, Gary Rhett is an individual health care provider with primary practice located at Bldg 5-4257 Bastogne Extension, Fort Bragg NC 28310-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallace, Gary Rhett can be contacted via phone (910) 907-9560.

Contact Information

Primary practice address
Bldg 5-4257 Bastogne Extension Fort Bragg NC 28310-0001
Phone: (910) 907-9560
Fax: (910) 907-9818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J8821 Texas

Profile Details

NPI number 1962484634
LBN Legal business name Wallace, Gary Rhett
Credentials M.D., FAAFP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 2007 - about 17 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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