Candice E Wallace in Atlanta - Emergency Medical Services
Candice E Wallace - NPI 1881730687
Candice E Wallace is a Emergency Medical Services in Atlanta, Georgia. Candice E Wallace practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Candice E Wallace is 1881730687. The last update date is 2007-07-08.
Candice E Wallace's current location address is 1260 Wildcliff Cir Ne, Atlanta, Georgia. You can contact this provider via phone number 6784423317 and fax number 6784424416. The mailing address for Candice E Wallace is 1260 Wildcliff Cir Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice E Wallace |
|---|---|
| Address | 1260 Wildcliff Cir Ne, Atlanta, Georgia |
| Phone Number | 6784423317 |
| Fax Number | 6784424416 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881730687 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1260 Wildcliff Cir Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303293473 |
| Phone Number | 6784423317 |
| Fax Number | 6784424416 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 30918 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00405468D | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Candice E Wallace by the Centers for Medicare & Medicaid Services?
The Candice E Wallace has been issued the NPI (National Provider Identifier) 1881730687. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Candice E Wallace?
The Candice E Wallace is situated at 1260 Wildcliff Cir Ne, in the city of Atlanta, state of GA, with the zip code 303293473.
What is Candice E Wallace's area of expertise and its corresponding taxonomy classification?
The Candice E Wallace's field of specialization is Emergency Medical Services, and it falls under the taxonomy code 207Pe0004X, which categorizes healthcare providers based on their areas of practice.
When did Candice E Wallace receive its 1881730687 assignment?
The Candice E Wallace was assigned its 1881730687 on 2007-01-29, which is the date when this unique identifier was issued to the organization.
When was the information related to Candice E Wallace most recently updated or refreshed?
The details pertaining to the Candice E Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.