Terrell Wallace, PA C
Terrell Wallace, PA C holds NPI 1356399828, with a primary taxonomy of medical physician assistant and a practice location in Warner Robins, GA. The number was issued on May 5, 2006 and the NPPES record was last updated on September 18, 2012.
This record hasn't been updated in NPPES since 2012. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 002665 (GA) |
Practice location
Local context
Active NPPES records list 29 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 9 of them within 10 miles.
The same primary taxonomy is listed by 1,322 in Georgia and 40,076 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Mr. Terrell Richard Wallace Jr.
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
Building software? Fetch this NPI programmatically with the NPILayer Provider API.
curl -H "Authorization: Bearer YOUR_API_KEY" \ "https://api.npilayer.com/v1/providers/1356399828"