ROBERT G. WALLACE M.D. – NPI #1780015610
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ROBERT WALLACE is a radiologist located in FORTSON, GA. NPPES has assigned the NPI number 1780015610 to ROBERT WALLACE on December 03, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT WALLACE below.

NPI Profile for
ROBERT G. WALLACE

NPI Number
1780015610
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT G. WALLACE
Credentials
M.D.
Primary location
1130 GOAT ROCK ROAD
FORTSON, GA 31808
Phone: (706) 323-6485 Fax: (706) 596-2025
Mailing address
P.O. BOX 2787
COLUMBUS, GA 31902
Phone: (706) 323-6485 Fax: (706) 596-2025
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
GA 13317
2085U0001X
- Radiology / Diagnostic Ultrasound
GA 13317
2085N0904X
- Radiology / Nuclear Radiology
GA 13317

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.