WALLACE S ANDERSON MD

WALLACE STEVE ANDERSON DO PC

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.

Contact

WALLACE STEVE ANDERSON DO PC

1311 OCILLA RD
DOUGLAS
GA
315332213

Tel: 9123841043

WALLACE S ANDERSON MD Information

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
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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