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

Individual provider Emergency Medicine Physician · NPI 1881657989

Douglass Michael Wallace, MD is an Emergency Medicine Physician in Greenville, South Carolina. Works from 2 locations. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Rd Fl 1
Greenville, SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 E Wood St, Spartanburg, SC 29303-3040 — (864) 560-7025

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 26820 (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 200301073 (NC)

Record details

NPI number1881657989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

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