Brian Charles Wallace
Brian Charles Wallace is a Physician Assistant in Mount Holly, North Carolina. Qualified in 2016, 10 years ago. Practices with ENT Carolina PA, a 14-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 10
- Licensed in
- NC
- In the registry since
- 2016
Practice location Address checks out
125 W Catawba AveMount Holly, NC 28120-1601
Phone: (704) 827-3014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0010-06531 (NC) |
|---|
Record details
| NPI number | 1114378759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 24, 2016 |
| Last updated in NPPES | July 6, 2016 |
| Mailing address | 125 W Catawba Ave, Mount Holly, NC 28120-1601 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Ent Carolina Pa — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Mount Holly
-
John Martin Bradshaw, PA-C
112 Woodlawn Rd, Mount Holly, NC 28120-1775 · (704) 827-3575
-
Reilly Brielle Kilpatrick, PA
215 S Main St, Mount Holly, NC 28120-1620 · (704) 587-2400
-
Thomas Dane Robinson, PA
215 S Main St, Mount Holly, NC 28120-1620 · (704) 587-2400
-
Rose Mary Williams, PA
215 S Main St, Mount Holly, NC 28120-1620 · (704) 587-2400