Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Urgent Care LLC

Organization Internal Medicine Physician · NPI 1841259025

Wallace Urgent Care LLC is an Internal Medicine Physician in Wallace, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Medical Village Dr Unit F
Wallace, NC 28466-9999
Phone: (910) 552-1580
Fax: (910) 665-1780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1841259025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamran Goudarzi — Owner · (910) 552-1580
NPI enumeratedMarch 17, 2006
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address112 Medical Village Dr, Unit F, Wallace, NC 28466-9999

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