DR. Robert G. Wallace, M.D. is a diagnostic radiology radiology in Fortson, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Robert G. Wallace, M.D. NPI is 1780015610. 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:
1130 GOAT ROCK ROAD FORTSON, GA ZIP 31808 Phone: (706) 323-6485 Fax: (706) 596-2025
The enumeration date for this NPI number is 12/3/2013 and was last updated on 12/3/2013.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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