| Dr Edward Alton Wallace, MD | |
| 300 Singleton Ridge Rd, Conway, SC 29526-9142 | |
| (843) 669-5162 | |
| (843) 669-5162 | 
| Full Name | Dr Edward Alton Wallace | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 300 Singleton Ridge Rd, Conway, South Carolina | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255486452 | NPI | - | NPPES | 
| 5900433 | Medicaid | NC | |
| 135972 | Medicaid | SC | |
| 570835798 | Other | SC | STANDARD TAX ID | 
| E0051 | Other | SC | MEDCOST | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 13597 (South Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Edward Alton Wallace, MD 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 Ph: (919) 882-0705 | Dr Edward Alton Wallace, MD 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 669-5162 | 
| Dr. Ihor V Melnytskyy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Road, Conway Medical Center, Conway, SC 29526 Phone: 843-347-7111 | |
| Dr. Casmir Michal Kielar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 822 Farrar Dr, Conway, SC 29526 Phone: 843-347-9587 Fax: 843-347-9633 | |
| Susan J Haskin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-669-5162 Fax: 843-667-4573 | |
| Mr. Richard Blake Kline, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2767 Cultra Rd, Conway, SC 29526 Phone: 843-438-8470 Fax: 843-438-8480 | |
| Frank F Humbles, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-669-5162 Fax: 843-667-4573 |