Search › North Carolina › 208000000X
Amy Jo Wallace, MD
NPI 1467487322 · on the registry since 2006
Practice
- Address
- 861 Old Winston Rd Ste 101
Kernersville, NC 27284 - Phone
- (336) 904-0143
- Fax
- (336) 904-0046
- Organisation at this address
- Wake Forest Health Network Llc
Wake Forest Health Network Llc
Wake Forest Baptist Imaging, Llc
Wake Forest University Health SciencesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 815 Old Winston Rd, Kernersville, NC
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina