Amy Jo Wallace, MD

NPI #1467487322 in Kernersville, North Carolina

Provider Information

NPI Number: 1467487322
Entity Type: Individual
Name: Amy Jo Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 11, 2006
Last Updated: Nov 4, 2020

Practice Location

Address: 861 OLD WINSTON RD STE 101
City: Kernersville
State: North Carolina
ZIP Code: 27284-7141
Phone: (336) 904-0143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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