Mr. James Lewis Wallace JR.
Podiatrist Prosthetist
1901 Brunswick Ave Suite 200
Charlotte
, North Carolina 28207-2809
Mr. James Lewis Wallace JR.
Podiatrist Prosthetist
1901 Brunswick Ave Suite 200
Charlotte
, North Carolina 28207-2809
(336) 397-2167
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. James Lewis Wallace JR.
- Po Box 24905
- Winston Salem, NC
- Zip : 27114-4905
- Fax : (336) 397-2167
- Phone : (336) 397-2165
Second Address
- Mr. James Lewis Wallace JR.
- 1901 Brunswick Ave Suite 200
- Charlotte, NC
- Zip : 28207-2809
- Fax : (704) 348-4496
- Phone : (704) 348-4488
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FAQs
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What type of doctor is Mr. James Lewis Wallace JR.
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Is Mr. James Lewis Wallace JR. a sole practitioner?
Is Mr. James Lewis Wallace JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | ||
| Y | 222Z00000X | Podiatrist | ||
| N | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1396891933 |
|---|---|
| Provider Name | Mr. James Lewis Wallace JR. |
| First Address | Winston Salem, NC 27114-4905 |
| Second Address | Charlotte, NC 28207-2809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 23/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7795261 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.