Dr WALLACE S ANDERSON MD is a male medical professional, specializing in Family Medicine. He graduated in 1986 from West Virginia School Of Osteopathic Medicine.
WALLACE STEVE ANDERSON DO PC
1311 OCILLA RD
DOUGLAS
GA
315332213
Tel: 9123841043
Npi | 1881622314 |
Pac Id | 5991602682 |
Professional Enrollment Id | I20031219000183 |
Last Name | ANDERSON |
First Name | WALLACE |
Middle Name | S |
Suffix | |
Gender | M |
Credential | MD |
Medical School Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
Graduation Year | 1986 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | |
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Organization Legal Name | WALLACE STEVE ANDERSON DO PC |
Group Practice Pac Id | 9931116548 |
Number Of Group Practice Members | 2 |
Line 1 Street Address | 1311 OCILLA RD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | DOUGLAS |
State | GA |
Zip Code | 315332213 |
Phone Number | 9123841043 |
Hospital Affiliation Ccn 1 | 110089 |
Hospital Affiliation Lbn 1 | COFFEE REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 110124 |
Hospital Affiliation Lbn 2 | WAYNE MEMORIAL HOSPITAL |
Hospital Affiliation Ccn 3 | 111327 |
Hospital Affiliation Lbn 3 | BACON COUNTY HOSPITAL |
Hospital Affiliation Ccn 4 | |
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Professional Accepts Medicare Assignment | Y |
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