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

Dr. Edward Alton Wallace, MD

Individual provider Anesthesiology Physician · NPI 1255486452

Dr. Edward Alton Wallace, MD is an Anesthesiology in Conway, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1984, 42 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
42
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2007
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

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone: (843) 669-5162
Fax: (843) 669-5162
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 13597 (SC)

Record details

NPI number1255486452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESDecember 21, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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