person
Damon Keith Wallace, MD
Student in an Organized Health Care Education/Training Program in Chapel Hill, North Carolina
NPI 1902426430

Damon Keith Wallace is a Student in an Organized Health Care Education/Training Program based in Chapel Hill, NC. Damon Keith Wallace practices in Chapel Hill, NC and has the professional credentials of MD. The NPI Number for Damon Keith Wallace is 1902426430 and holds a License No. 261375 (North Carolina).

The current practice location address for Damon Keith Wallace is 101 Manning Dr, Chapel Hill, NC and can be reached out via phone at 919-966-5136.

Location: 101 Manning Dr, Chapel Hill, NC, 27514-4220
person
Provider Profile Details
NPI Number
1902426430
Provider Name
Damon Keith Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Manning Dr, Chapel Hill, NC, 27514-4220
Phone Number
919-966-5136
Fax Number
Provider Enumeration Date
04/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Manning Dr
City
State
Zip
27514-4220
Phone Number
919-966-5136
Fax Number
person
Provider Business Mailing Address Details
Address
101 Manning Dr
City
State
Zip
27514-4220
Phone Number
919-966-5136
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
261375 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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