Dr. Michael Robert Wallace is a Valdosta, Georgia based male podiatrist with 35 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation in 1989. He is also affiliated with hospitals like South Georgia Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael Robert Wallace for Podiatric Foot & Ankle Surgery is 599 in Georgia. Dr. Michael Robert Wallace provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Michael Robert Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
35+ years
Medical School Attended:
Other
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2800 N Oak St, Valdosta, Georgia, 31602-1716
Phone:
229-244-1211
Fax:
229-244-2721
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3870747488
Enrollment ID:
I20130211000413
NPI Number:
1295828416
NPI Enumeration Date:
02 Oct, 2006
NPI Last Update On:
18 Sep, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Robert Wallace are as mentioned below.
License Number
Specialization
State
Status
599
Podiatric Foot & Ankle Surgery
Georgia
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
South Georgia Medical Center (110122)
Valdosta, GA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Michael Robert Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Valdosta Foot And Ankle Clinic, P.c. (1658362439)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael Robert Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000480029131
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2800 N Oak St, Valdosta, Georgia
Zip:
31602-1716
Phone Number:
229-244-1211
Fax Number:
229-244-2721
Patients can reach Dr. Michael Robert Wallace at 2800 N Oak St, Valdosta, Georgia or can call to book an appointment on 229-244-1211. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.