Dr. Celeste Nicole Wallace
D.O. | Pediatrics | Female
Dr. Celeste Nicole Wallace, D.O. is a Greensboro, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Celeste Nicole Wallace is
802 Green Valley Rd, Suite 210, Greensboro, North Carolina - 27408-7041. She can be contacted on phone at
336-802-2536 and fax number 336-802-2534.
Dr. Celeste Nicole Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Celeste Nicole Wallace is
1740252576 which was assigned by NPPES on 06 Feb, 2006 and it was last updated on 16 Jan, 2013.
Dr. Celeste Nicole Wallace license number is
34--008564 for Pediatrics (208000000X) in Ohio.
Dr. Celeste Nicole 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:
Dr. Celeste Nicole Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Celeste Nicole Wallace |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Dr. Celeste Nicole 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 : | 802 Green Valley Rd, Suite 210
Greensboro, NC, 27408-7041
United States |
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| Phone Number : | 336-802-2536 |
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| Fax Number : | 336-802-2534 |
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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 : | 1740252576 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Feb, 2006 |
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| Last Updated On : | 16 Jan, 2013 |
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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 Dr. Celeste Nicole Wallace are as mentioned. Primary taxonomy code for Dr. Celeste Nicole Wallace, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 34--008564 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Celeste Nicole Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2583520 | MEDICAID | OH | |
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 : | 1701 Westchester Dr, Suite 850
High Point, NC, 27262-7008
United States |
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| Phone Number : | 336-802-2536 |
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| Fax Number : | 336-802-2534 |
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Business Location:
Patients can refer following map for directions to
Dr. Celeste Nicole 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. Last updated on 08 January, 2024.