Marcus Wallace in Hammond - Internal Medicine

Marcus Wallace - NPI 1841201860

Marcus Wallace is a Internal Medicine in Hammond, Louisiana. Marcus Wallace practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Marcus Wallace is 1841201860. The last update date is 2014-02-19.

Marcus Wallace's current location address is Po Box 2666, Hammond, Louisiana. You can contact this provider via phone number 9852303066 and fax number 9852302072. The mailing address for Marcus Wallace is Po Box 2666, Hammond, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Marcus Wallace
Address Po Box 2666, Hammond, Louisiana
Phone Number 9852303066
Fax Number 9852302072
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1841201860
Provider Enumeration Date 2006-08-11
Last Updated Date 2014-02-19

Provider Mailing Address Detail

Address Po Box 2666
City Hammond
State Louisiana (LA)
Post Code 704042666
Phone Number 9852303066
Fax Number 9852302072

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35540
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
143374-01 AZ --

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FAQs about Marcus Wallace

What is the unique provider identifier assigned to Marcus Wallace?

The Marcus Wallace has been issued the NPI (National Provider Identifier) 1841201860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Marcus Wallace?

The Marcus Wallace is situated at Po Box 2666, in the city of Hammond, state of LA, with the zip code 704042666.

What is Marcus Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marcus Wallace is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841201860 to Marcus Wallace?

The Centers for Medicare & Medicaid Services originally issued the 1841201860 to Marcus Wallace on 2006-08-11.

As of what date were the Marcus Wallace's details last updated?

The information pertaining to the Marcus Wallace, including its address, specialty, and other details, was most recently updated on 2014-02-19.

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