Individual provider · Type 1 NPI

Brian Charles Wallace

Physician Assistant · Mount Holly, NC

NPI number 1114378759 Active

Practice location

125 W Catawba Ave
Mount Holly, NC 28120-1601

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-06531 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114378759

Brian Charles Wallace's National Provider Identifier is 1114378759, issued on Jun 24, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mount Holly, NC. The record was last updated on Jul 6, 2016.