William C Wallace, MD
Family Medicine in Huntington, WV. Individual provider (NPI-1).
NPI number1619937851
StatusActive
Last updated in NPPESNov 17, 2021
Details
- NPI
- 1619937851
- Entity type
- Individual (NPI-1)
- Name
- William C Wallace
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2006
- Certification date
- Nov 17, 2021
- Last updated
- Nov 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 21450 | WV | Yes |
Practice location
1600 Medical Center DrSuite G500
Huntington, WV 25701-3656
Phone 304-691-1262
Mailing address
1600 Medical Center DrSuite G500
Huntington, WV 25701-3656
Phone 304-691-1262
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