Organization

Janet N. Wallace, Md, Inc.

Clinic/Center in Huntington, WV(View on Map)

Legal Business Name

Janet N. Wallace, Md, Inc.

NPI Number

1255499638

NPI Type

Organization

Enumeration Date

12/05/2006

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2703 3RD AVE
2703 3RD AVE

City

Huntington
Huntington

State

WV
WV

Postal Code

25702-1303
25702-1303

Country

US
US

Telephone Number

(304) 697-0554
(304) 697-0554

Authorized Official

Name

Janet Wallace

Title or Position

PRESIDENT

Telephone Number

(304) 697-0554

Identifiers

Identifier

0046053000

Identifier State

WV

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/13/2007

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