Individual
DR. WALLACE DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 HILLANDALE DR, ANNEX E, LITHONIA, GA 30058-3802
(770) 987-8400
(770) 987-8494
Mailing address
PO BOX 924583, NORCROSS, GA 30010-4583
(770) 987-8400
(770) 987-8494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041109
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00687893G
—
GA
Enumeration date
12/25/2006
Last updated
10/17/2011
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