Weeks, Wallace R
Weeks, Wallace R is an individual health care provider with primary practice located at 1107 Memorial Dr Suite 300, Dalton GA 30720-8662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weeks, Wallace R can be contacted via phone (706) 226-3139.Contact Information
Primary practice address
1107 Memorial Dr Suite 300
Dalton GA 30720-8662
Phone: (706) 226-3139
Fax: (706) 278-6606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25066 | Georgia |
Profile Details
| NPI number | 1689671323 |
|---|---|
| LBN Legal business name | Weeks, Wallace R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689671323 | NPPES |
| Georgia | MEDICAID | 000278924C |
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