Lucy Brooks Wallace in Atlanta - Surgery
Lucy Brooks Wallace - NPI 1770787566
Lucy Brooks Wallace is a Surgery in Atlanta, Georgia. Lucy Brooks Wallace practices all healthcare services and medical treatments related to Surgery. The NPI Number for Lucy Brooks Wallace is 1770787566. The last update date is 2023-01-18.
Lucy Brooks Wallace's current location address is 275 Collier Road Nw, Atlanta, Georgia. You can contact this provider via phone number 4043511002 and fax number 4043508290. The mailing address for Lucy Brooks Wallace is 275 Collier Road Nw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lucy Brooks Wallace |
|---|---|
| Address | 275 Collier Road Nw, Atlanta, Georgia |
| Phone Number | 4043511002 |
| Fax Number | 4043508290 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770787566 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 275 Collier Road Nw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30309 |
| Phone Number | 4043511002 |
| Fax Number | 4043508290 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | N4832 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003193207A | GA | -- |
Post Comment/ Review Below
What is the Lucy Brooks Wallace's 1770787566?
The Lucy Brooks Wallace's NPI (National Provider Identifier) Number is 1770787566. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lucy Brooks Wallace is physically located?
The Lucy Brooks Wallace is situated at the following address: 275 Collier Road Nw, Atlanta, GA 30309.
What is the area of specialization for Lucy Brooks Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lucy Brooks Wallace is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the Lucy Brooks Wallace receive its 1770787566 assignment from the Centers for Medicare & Medicaid Services?
The Lucy Brooks Wallace was assigned its 1770787566 by the Centers for Medicare & Medicaid Services on 2007-06-13.
As of what date were the details related to Lucy Brooks Wallace most recently updated or revised?
The information pertaining to Lucy Brooks Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2023-01-18.
NPI Number: 1083602577
Address: 11535 Carmel Commons Blvd, Charlotte, NC