Wallace Urgent Care LLC

NPI #1841259025 in Wallace, North Carolina

Provider Information

NPI Number: 1841259025
Entity Type: Organization
Organization Name: Wallace Urgent Care LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 17, 2006
Last Updated: Jun 24, 2025

Practice Location

Address: 112 MEDICAL VILLAGE DR
Address 2: UNIT F
City: Wallace
State: North Carolina
ZIP Code: 28466-9999
Phone: (910) 552-1580

Authorized Official

Name: DR. KAMRAN GOUDARZI, M.D.
Title: OWNER
Phone: (910) 552-1580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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