Garris Wallace, Sheila Mae

Garris Wallace, Sheila Mae is an individual health care provider with primary practice located at 1800 Glenside Dr Ste 101 , Richmond VA 23226-3769. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Garris Wallace, Sheila Mae can be contacted via phone (804) 288-3001.

Contact Information

Primary practice address
1800 Glenside Dr Ste 101 Richmond VA 23226-3769
Phone: (804) 288-3001
Fax: (804) 673-5614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101040429 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101040429 Virginia

Profile Details

NPI number 1477520195
LBN Legal business name Garris Wallace, Sheila Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477520195 NPPES
Virginia MEDICAID 005832918
Virginia Other 110193042
Virginia Other 141505
Virginia MEDICAID 1477520195

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