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IndividualActive

Trevor Dewitt Wallace

Contractor

NPI: 1003339094Suwanee, Georgia, 30024(770) 369-1497Male

About Trevor Dewitt Wallace

Trevor Dewitt Wallace is a male healthcare professional specializing in Contractor, registered under National Provider Identifier (NPI) number 1003339094. Their primary practice is located at 571 EVA KENNEDY RD APT 8, Suwanee, Georgia 30024.

Patients can reach the office at (770) 369-1497. Trevor Dewitt Wallace has been NPI-registered since 2017.

Doctor Details

Identity & Credentials

NPI Number
1003339094
Entity Type
Individual
First Name
Trevor
Last Name
Wallace
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
571 EVA KENNEDY RD APT 8
City
Suwanee
State
Georgia
ZIP
30024-3008
Country
United States
Phone
(770) 369-1497

Specialty & Taxonomy

Primary Specialty
Contractor
Classification
Contractor
Taxonomy Code
171W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
571 EVA KENNEDY RD APT 8
City
SUWANEE
State
GA
ZIP
300243008

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Trevor Dewitt Wallace's NPI number?
Trevor Dewitt Wallace's National Provider Identifier (NPI) is 1003339094. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Trevor Dewitt Wallace specialize in?
Trevor Dewitt Wallace specializes in Contractor.
Where is Trevor Dewitt Wallace located?
Trevor Dewitt Wallace practices at 571 EVA KENNEDY RD APT 8, Suwanee, Georgia 30024. You can reach them by phone at (770) 369-1497.
Does Trevor Dewitt Wallace accept Medicare?
Based on available data, Trevor Dewitt Wallace is not currently enrolled in the Medicare program.
Does Trevor Dewitt Wallace offer telehealth or virtual visits?
Trevor Dewitt Wallace does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Trevor Dewitt Wallace is 1003339094.