Wallace Steve Anderson Do, Pc in Douglas - Family Medicine
Wallace Steve Anderson Do, Pc - NPI 1982630109
Wallace Steve Anderson Do, Pc is a Family Medicine in Douglas, Georgia. Wallace Steve Anderson Do, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wallace Steve Anderson Do, Pc is 1982630109. The last update date is 2014-12-10.
Wallace Steve Anderson Do, Pc's current location address is 1311 Ocilla Rd, Douglas, Georgia. You can contact this provider via phone number 9123841043 and fax number 9123840197. The mailing address for Wallace Steve Anderson Do, Pc is 1311 Ocilla Rd, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wallace Steve Anderson Do, Pc |
|---|---|
| Address | 1311 Ocilla Rd, Douglas, Georgia |
| Phone Number | 9123841043 |
| Fax Number | 9123840197 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Anderson S Wallace |
| Credentials | DO |
| Telephone Number | 9123841043 |
NPI Number Detail
| NPI Number | 1982630109 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2014-12-10 |
Provider Mailing Address Detail
| Address | 1311 Ocilla Rd |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332213 |
| Phone Number | 9123841043 |
| Fax Number | 9123840197 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 28708 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Wallace Steve Anderson Do, Pc by the Centers for Medicare & Medicaid Services?
The Wallace Steve Anderson Do, Pc has been assigned the NPI (National Provider Identifier) 1982630109. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Wallace Steve Anderson Do, Pc is geographically located?
The Wallace Steve Anderson Do, Pc is physically situated at the following location: 1311 Ocilla Rd, Douglas, GA, 315332213.
What is Wallace Steve Anderson Do, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wallace Steve Anderson Do, Pc's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982630109 to Wallace Steve Anderson Do, Pc?
The Centers for Medicare & Medicaid Services assigned the 1982630109 to Wallace Steve Anderson Do, Pc on 2006-06-23.
As of what date were the Wallace Steve Anderson Do, Pc's details last updated?
The information pertaining to the Wallace Steve Anderson Do, Pc, including its address, specialty, and other details, was most recently updated on 2014-12-10.
NPI Number: 1215930425
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