Eric Lee Wallace is a Surgery in Matthews, North Carolina. Eric Lee Wallace practices all healthcare services and medical treatments related to Surgery. The NPI Number for Eric Lee Wallace is 1780614529. The last update date is 2023-08-27.
Eric Lee Wallace's current location address is 1450 Matthews Township Pkwy Ste 250, Matthews, North Carolina. You can contact this provider via phone number 7048411444 and fax number 7048492520. The mailing address for Eric Lee Wallace is 1450 Matthews Township Pkwy Ste 250, Matthews, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eric Lee Wallace |
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Address | 1450 Matthews Township Pkwy Ste 250, Matthews, North Carolina |
Phone Number | 7048411444 |
Fax Number | 7048492520 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1780614529 |
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Provider Enumeration Date | 2006-07-04 |
Last Updated Date | 2023-08-27 |
Provider Mailing Address Detail
Address | 1450 Matthews Township Pkwy Ste 250 |
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City | Matthews |
State | North Carolina (NC) |
Post Code | 2810553310 |
Phone Number | 7048411444 |
Fax Number | 7048492520 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 2006-00806 |
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; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5904040 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eric Lee Wallace by the Centers for Medicare & Medicaid Services?
The Eric Lee Wallace has been assigned the NPI (National Provider Identifier) 1780614529. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Eric Lee Wallace is located?
The Eric Lee Wallace is situated at the following address: 1450 Matthews Township Pkwy Ste 250, Matthews, NC, 2810553310.
What is Eric Lee 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 Eric Lee Wallace is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date was the 1780614529 assigned to Eric Lee Wallace?
The Eric Lee Wallace was issued its 1780614529 on 2006-07-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Eric Lee Wallace most recently updated or revised?
The information pertaining to Eric Lee Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-27.
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