| Erin Nicole Wallace, | |
|
257 Hospital Dr Ne Ste 101, Bolivia, NC 28422-8411 | |
| (910) 721-4100 | |
| (910) 721-4101 |
| Full Name | Erin Nicole Wallace |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 257 Hospital Dr Ne Ste 101, Bolivia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326622333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 83639 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 2024-01330 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Nicole Wallace, Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Erin Nicole Wallace, 257 Hospital Dr Ne Ste 101, Bolivia, NC 28422-8411 Ph: (910) 721-4100 |
Dr. Timothy Michael Foeller, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 | |
William Joseph Faircloth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-755-1004 Fax: 910-755-1474 | |
Alan Joseph Bloszko Jr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 | |
Dr. Roberta Samelson Bracken, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 25 Courthouse Dr Ne, Bolivia, NC 28422 Phone: 910-253-2250 Fax: 910-253-2370 | |
Lawrence James Mason, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-755-1474 | |
David John Koenig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 |