Individual provider · Type 1 NPI

Kojo Wallace, MD

Trauma Surgery Physician · Lynchburg, VA

NPI number 1720475866 Active

Practice location

Centra Lynchburg General Hospital, 1901 Tate Springs Rd
Lynchburg, VA 24501

Mailing address

909 Station Way
Huntington Station, NY 11746-1971

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician Primary 2086S0127X0101285554 (VA)

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1720475866

Kojo Wallace, MD's National Provider Identifier is 1720475866, issued on Apr 15, 2015. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Lynchburg, VA. The record was last updated on Jul 11, 2025.