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:
Health care specialties
| Specialty | Code | License # | 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 18 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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