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NPI Profile for Dr ROBERT G WALLACE in FORTSON, GA.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Diagnostic Ultrasound |
2085U0001X | |||
Nuclear Radiology |
2085N0904X |
| NPI Number | 1780015610 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 12/03/2013 | |
| Last updated | 12/03/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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ROBERT G WALLACE
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ROBERT G WALLACE, MD