Active NPI
DGH-Ech Partnership LLC
Doing business as Wallace Family Medicine
- Family Medicine Physician
- Wallace, NC
National Provider Identifier
1932334869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DGH-ECH PARTNERSHIP LLC
- Doing business as
- Wallace Family Medicine
- Practice address
- 404 E Main St
Wallace, NC 28466-2726 - Phone
- (910) 285-2134
- Fax
- (910) 285-3380
- NPI assigned
- May 21, 2009
- Last updated
- May 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lynn T Lanier
- Title
- VP of Finance and Operations
- Phone
- (252) 847-0848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
404 E Main St
Wallace, NC 28466-2726
Mailing address
404 E Main St
Wallace, NC 28466-2726
Other names 1
- Wallace Family Medicine
National Provider Directory
National Provider DirectoryLocations
404 E Main St
Wallace, NC 28466
Phone (910) 285-2134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242864000000",
"number": "1932334869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 E MAIN ST",
"city": "WALLACE",
"state": "NC",
"postal_code": "284662726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E MAIN ST",
"city": "WALLACE",
"state": "NC",
"postal_code": "284662726",
"telephone_number": "910-285-2134",
"fax_number": "910-285-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DGH-ECH PARTNERSHIP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP OF FINANCE AND OPERATIONS",
"authorized_official_telephone_number": "252-847-0848",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wallace Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wallace, NC
- Julianne D Davis, MA
- Anthony Kenneth Defilippis, RPH
- Madison Deloney, OTD, OTR/L
- Joshua P Denny, P.T.
- Marisha Jonelle Devone, RN
- Sarah Elizabeth Dorsey, FNP-C
- Duplin Health Care Services, LLC
- Five Star Investments, Inc (DaySpring Assisted Living)
- Five Star Investments, Inc. (GoldenCare)
- Focused Addiction Recovery LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.