TREVOR DEWITT WALLACE
NPI 1003339094
Contractor in Suwanee, GA
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
Specialties & Licenses
Group Practice 1
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.