Search › North Carolina › 363A00000X
Connie Wallace, PA-C
NPI 1619179132 · on the registry since 2007
Practice
- Address
- 10030 Gilead Rd Ste 201
Huntersville, NC 28078 - Phone
- (704) 887-4530
- Fax
- (704) 887-4531
- Organisation at this address
- Orthocarolina, Pa
The Presbyterian Hospital
The Presbyterian Hospital
The Presbyterian Hospital
The Presbyterian HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Additional practice sites
- 125 Queens Rd Ste 330, Charlotte, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-23
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