Individual
JOSHUA ADAM WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.P.H.
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-7890
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-7890
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2015-01948
NC
Other
Enumeration date
06/02/2014
Last updated
06/06/2025
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