Sheila Mae Garris Wallace, MD
Family Medicine in Richmond, VA. Individual provider (NPI-1).
NPI number1477520195
StatusActive
Last updated in NPPESJan 3, 2012
Details
- NPI
- 1477520195
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sheila Mae Garris Wallace
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2006
- Last updated
- Jan 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101040429 | VA | Yes |
| 207R00000X | Internal Medicine | 0101040429 | VA |
Other names
- Sheila Mae Garris (Former Name)
Practice location
1800 Glenside Dr Ste 101Richmond, VA 23226-3769
Phone 804-288-3001 · Fax 804-673-5614
Mailing address
1800 Glenside DrSte 105
Richmond, VA 23226-3769
Phone 804-288-0399 · Fax 804-285-0088
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