DR. Edward Alton Wallace, MD

NPI #1255486452 in Conway, South Carolina

Provider Information

NPI Number
1255486452
Entity Type
Individual
Name
DR. Edward Alton Wallace, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Anesthesiology
Credential
MD
Enumeration Date
Jan 25, 2007
Last Updated
Dec 21, 2016

Practice Location

Address
300 SINGLETON RIDGE RD
City
Conway
ZIP Code
29526-9142
Phone
(843) 669-5162

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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