Individual
WALLACE F ANDREW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 EDWARDS MILL RD, SUITE 200, RALEIGH, NC 27612-5243
(919) 781-5600
(919) 782-6578
Mailing address
3001 EDWARDS MILL RD, SUITE 200, RALEIGH, NC 27612-5243
(919) 781-5600
(919) 782-6578
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25216
NC
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
25216
NC
Other
Enumeration date
05/26/2005
Last updated
05/04/2015
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