Wallace, Robert G.

Wallace, Robert G. is an sole proprietor health care provider with primary practice located at 1130 Goat Rock Road , Fortson GA 31808. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wallace, Robert G. can be contacted via phone (706) 323-6485.

Contact Information

Primary practice address
1130 Goat Rock Road Fortson GA 31808
Phone: (706) 323-6485
Fax: (706) 596-2025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 13317 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13317 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 13317 Georgia

Profile Details

NPI number 1780015610
LBN Legal business name Wallace, Robert G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2013
Last updated Dec 3rd, 2013 - about 12 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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