James Jefferson Wallace in Martinez - Specialist
James Jefferson Wallace - NPI 1306067954
James Jefferson Wallace is a Specialist in Martinez, Georgia. James Jefferson Wallace practices all healthcare services and medical treatments related to Specialist. The NPI Number for James Jefferson Wallace is 1306067954. The last update date is 2007-07-09.
James Jefferson Wallace's current location address is 4143 Columbia Rd, Martinez, Georgia. You can contact this provider via phone number 7066511299 and fax number 7066511145. The mailing address for James Jefferson Wallace is 4143 Columbia Rd, Martinez, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Jefferson Wallace |
|---|---|
| Address | 4143 Columbia Rd, Martinez, Georgia |
| Phone Number | 7066511299 |
| Fax Number | 7066511145 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306067954 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4143 Columbia Rd |
|---|---|
| City | Martinez |
| State | Georgia (GA) |
| Post Code | 30907 |
| Phone Number | 7066511299 |
| Fax Number | 7066511145 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24369 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to James Jefferson Wallace?
The James Jefferson Wallace has been issued the NPI (National Provider Identifier) 1306067954 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the James Jefferson Wallace's physical address?
The James Jefferson Wallace is physically located at 4143 Columbia Rd, in the city of Martinez, GA, with the postal code 30907.
What is James Jefferson Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Jefferson Wallace is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the James Jefferson Wallace receive the assignment of its 1306067954 from the Centers for Medicare & Medicaid Services?
The James Jefferson Wallace was issued its 1306067954 by the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date was the information pertaining to James Jefferson Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James Jefferson Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.