Gerald Carter Wallace, MD

Neurology Physician · Augusta, GA

Individual Active NPI

NPI number 1972024974

Practice location

1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-1990

Open in Google Maps

NPI record

NPI
1972024974
Entity type
Individual (Type 1)
Enumeration date
June 29, 2017
Last updated
October 9, 2023
Certified
October 9, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Neurology Physician Primary 2084N0400X 92768 GA
Neurology Physician 2084N0400X 009670 GA

About Dr. Wallace

Gerald Carter Wallace, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Neurology Physician (code 2084N0400X). The practice location is 1120 15TH St, Augusta, GA 30912-0004. The NPI number 1972024974 was assigned on June 29, 2017 and the record was last updated on October 9, 2023.

Dr. Wallace lists 2 licenses in the registry: #92768 (GA) for Neurology Physician; #009670 (GA) for Neurology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gerald Carter Wallace, MD?

The NPI number is 1972024974.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (706) 721-1990.

Where is Dr. Wallace located?

1120 15TH St, Augusta, GA 30912-0004.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 2084N0400X – Neurology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Neurology Physician providers in Augusta

All Neurology Physician providers in Augusta, GA →