Individual provider · Type 1 NPI

Gerald Carter Wallace, MD

Neurology Physician · Augusta, GA

NPI number 1972024974 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Call (706) 721-1990 Map

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X009670 (GA)
Neurology Physician Primary 2084N0400X92768 (GA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1972024974

Gerald Carter Wallace, MD's National Provider Identifier is 1972024974, issued on Jun 29, 2017. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Augusta, GA. The record was last updated on Oct 9, 2023.