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

Damon Keith Wallace, MD

Individual provider Anesthesiology Physician · NPI 1902426430

Damon Keith Wallace, MD is an Anesthesiology Physician in Chapel Hill, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone: (919) 966-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2026-01939 (NC)

Record details

NPI number1902426430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2020
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

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