Amy Jo Wallace
MD | Pediatrics | Female
Amy Jo Wallace, MD is a Kernersville, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Amy Jo Wallace is
861 Old Winston Rd Ste 101, Kernersville, North Carolina - 27284-7141. She can be contacted on phone at
336-904-0143 and fax number 336-904-0046.
Amy Jo Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Amy Jo Wallace is
1467487322 which was assigned by NPPES on 11 Jul, 2006 and it was last updated on 04 Nov, 2020.
Amy Jo Wallace license number is
200600865 for Pediatrics (208000000X) in North Carolina.
Amy Jo Wallace is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Amy Jo Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Amy Jo Wallace |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Amy Jo Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 861 Old Winston Rd Ste 101
Kernersville, NC, 27284-7141
United States |
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| Phone Number : | 336-904-0143 |
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| Fax Number : | 336-904-0046 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467487322 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jul, 2006 |
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| Last Updated On : | 04 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amy Jo Wallace are as mentioned. Primary taxonomy code for Amy Jo Wallace, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 26169 | SC |
| 208000000X | Pediatrics | Yes | 200600865 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
815 OLD WINSTON RD,
KERNERSVILLE, NC, 27284-7124
United States | KERNERSVILLE, NC | 336-713-0990 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 602658
Charlotte, NC, 28260-2658
United States |
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| Phone Number : | 336-716-2011 |
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Business Location:
Patients can refer following map for directions to
Amy Jo Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.