Individual provider · Type 1 NPI

Amy Jo Wallace, MD

Pediatrics Physician · Kernersville, NC

NPI number 1467487322 Active

Practice location

861 Old Winston Rd Ste 101
Kernersville, NC 27284-7141

Call (336) 904-0143 Map

Fax (336) 904-0046

Mailing address

PO Box 602658
Charlotte, NC 28260-2658

Other practice locations

  • 815 Old Winston Rd, Kernersville, NC 27284-7124 · (336) 713-0990

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X26169 (SC)
Pediatrics Physician Primary 208000000X200600865 (NC)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

5 other providers at this address

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About NPI 1467487322

Amy Jo Wallace, MD's National Provider Identifier is 1467487322, issued on Jul 11, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Kernersville, NC. The record was last updated on Nov 4, 2020.