Randy Gene Wallace, FNP is a family nurse practitioner in Columbia, SC. Randy Gene Wallace, FNP NPI is 1750688743. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6439 GARNERS FERRY RD
COLUMBIA, SC
ZIP 29209-638
Phone: (803) 776-4000
The NPI 1750688743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/28/2011 and was last updated on 9/22/2020.