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

Mr. Carter Douglas Wallace, MD

Individual provider Pediatrics Physician · NPI 1497037899

Mr. Carter Douglas Wallace, MD is a Pediatrics Physician in Columbus, Georgia. Licensed in Alabama and Georgia. Registered with an NPI since 2011.

Licensed in
AL, GA
In the registry since
2011
Specialties on file
3
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

2200 Hamilton Rd Ste B
Columbus, GA 31904-8856
Phone: (706) 655-8800
Fax: (205) 638-7455
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Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 90501 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence MD.35643 (AL)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence MD.35643 (AL)

Record details

NPI number1497037899
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2011
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address1600 7th Avenue South, Suite S604, Birmingham, AL 35233

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