Wallace, Austin William
Wallace, Austin William is an individual health care provider with primary practice located at 210 E Derenne Ave , Savannah GA 31405-6736. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Wallace, Austin William can be contacted via phone (912) 644-5300.Contact Information
Primary practice address
210 E Derenne Ave
Savannah GA 31405-6736
Phone: (912) 644-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME163050 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ME163050 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 101390 | Georgia |
Profile Details
| NPI number | 1063901023 |
|---|---|
| LBN Legal business name | Wallace, Austin William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2018 |
| Last updated | Feb 10th, 2025 - about last year |
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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