Mr. Richard Jeremy Wallace, PA-C
Mr. Richard Jeremy Wallace, PA-C is a Physician Assistant in Williston, South Carolina. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
13649 Church StWilliston, SC 29853
Phone: (803) 266-0060
Fax: (803) 266-0042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1841583788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 25, 2011 |
| Last updated in NPPES | January 11, 2024 |
| Certification date | January 11, 2024 |
Other providers in Williston
-
Vickie Glover, PA
13649 Church St, Williston, SC 29853 · (803) 266-0060