TREVOR DEWITT WALLACE
NPI 1003339094
Contractor in Suwanee, GA

Active since July 20, 2017
571 EVA KENNEDY RD APT 8, SUWANEE, GA 30024(770) 369-1497 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017 (2 updates tracked since 2017).

About Trevor Dewitt Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREVOR DEWITT WALLACE (NPI 1003339094) is an individual contractor provider in Suwanee, Georgia and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1003339094
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameTREVOR DEWITT WALLACE
Location Address571 EVA KENNEDY RD APT 8Suwanee, GA 30024-3008
Mailing Address571 Eva Kennedy Rd Apt 8Suwanee, GA 30024-3008 · (770) 369-1497
Sole ProprietorYes
Enumeration DateJuly 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1003339094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
571 EVA KENNEDY RD APT 8, Suwanee, GA 30024

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Wallace's NPI number?

The NPI number for Trevor Wallace is 1003339094. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Trevor Wallace located?

Trevor Wallace practices at 571 Eva Kennedy Rd Apt 8, Suwanee, GA 30024. The listed phone number is (770) 369-1497.

What is Trevor Wallace's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Trevor Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.