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

Dr. Robert G. Wallace, MD

Individual provider Nuclear Radiology Physician · NPI 1780015610

Dr. Robert G. Wallace, MD is a Nuclear Radiology Physician in Fortson, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
3
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

1130 Goat Rock Rd
Fortson, GA 31808
Phone: (706) 323-6485
Fax: (706) 596-2025
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 13317 (GA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 13317 (GA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 13317 (GA)

Record details

NPI number1780015610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 3, 2013
Last updated in NPPESDecember 3, 2013
Mailing addressP.O. Box 2787, Columbus, GA 31902