| Brian Charles Wallace, | |
|
125 W Catawba Ave, Mount Holly, NC 28120-1601 | |
| (704) 827-3014 | |
| Not Available |
| Full Name | Brian Charles Wallace |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 125 W Catawba Ave, Mount Holly, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114378759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-06531 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Charles Wallace, 125 W Catawba Ave, Mount Holly, NC 28120-1601 Ph: (704) 827-3014 | Brian Charles Wallace, 125 W Catawba Ave, Mount Holly, NC 28120-1601 Ph: (704) 827-3014 |
Thomas Dane Robinson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 215 S Main St, Mount Holly, NC 28120 Phone: 704-587-2400 | |
Reilly Brielle Kilpatrick, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 215 S Main St, Mount Holly, NC 28120 Phone: 704-587-2400 | |
John Martin Bradshaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Woodlawn Rd, Mount Holly, NC 28120 Phone: 704-827-3575 Fax: 704-827-0840 | |
Mackenzie Elizabeth Coleman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 125 W Catawba Ave, Mount Holly, NC 28120 Phone: 704-827-3014 | |
Rose Mary Williams, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 215 S Main St, Mount Holly, NC 28120 Phone: 704-587-2400 |