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Austin Wallace

NPI 1063901023 · on the registry since 2018

Practice

Address
210 E Derenne Ave
Savannah, GA 31405
Phone
(912) 644-5300
Organisation at this address
Orthopedic Center Pc
Orthopedic Center Pc
Optim Orthopedics Llc
Optim Orthopedics, Llc
Optim Orthopedics Trauma, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
106

Additional practice sites

  • 3450 Hull Rd, Gainesville, FL
  • 1600 Sw Archer Rd, Gainesville, FL

Registry record

Primary taxonomy
207XX0801X
207XX0801X
Also registered as
207X00000X
207XX0801X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia