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Dr. Robert G. Wallace, MD
Diagnostic Ultrasound Physician in Fortson, Georgia
NPI 1780015610

Robert G. Wallace is a Diagnostic Ultrasound Physician based in Columbus, GA and is specialized in Diagnostic Ultrasound. Robert G. Wallace practices in Fortson, GA and has the professional credentials of MD. The NPI Number for Robert G. Wallace is 1780015610 and holds a License No. 13317 (Georgia).

The current practice location address for Robert G. Wallace is 1130 Goat Rock Road, Fortson, GA and can be reached out via phone at 706-323-6485 and via fax at 706-596-2025.

Location: 1130 Goat Rock Road, Fortson, GA, 31902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780015610
Provider Name
Robert G. Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1130 Goat Rock Road, Fortson, GA, 31902
Phone Number
706-323-6485
Fax Number
706-596-2025
Provider Enumeration Date
12/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1130 Goat Rock Road
City
Fortson
State
Georgia
Zip
31808
Phone Number
706-323-6485
Fax Number
706-596-2025
person
Provider Business Mailing Address Details
Address
1130 Goat Rock Road
City
Fortson
State
Georgia
Zip
31808
Phone Number
706-323-6485
Fax Number
706-596-2025
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
13317 (Georgia)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
13317 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
13317 (Georgia)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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