DR. WALLACE DUNCAN (NPI# 1821153529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821153529 |
| Entity Type | Individual |
| Full Name | DR. WALLACE DUNCAN |
| Credential | M.D. |
| Practice Address |
5900 Hillandale Dr Annex E Lithonia GA 30058-3802 |
| Mailing Address |
Po Box 924583 Norcross GA 30010-4583 |
| Practice Telephone | 7709878400 |
| Practice Fax Number | 7709878494 |
| Mailing Telephone | 7709878400 |
| Mailing Fax Number | 7709878494 |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 041109 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00687893G | 05 |
| Street Address |
5900 HILLANDALE DR ANNEX E |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232103 | Jada Ea Moore-ruffin | Family Medicine | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2005-11-17 |
| 1255862447 | Letitia Hoffmann | Nurse Practitioner | 5900 Hillandale Dr, Ste 215, Lithonia, GA 30058-3858 | 2017-03-21 |
| 1285031849 | Penelope Marshall Mccown | Nurse Practitioner | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2014-11-26 |
| 1861781320 | Hillandale Internal Medicine, PC | Internal Medicine | 5900 Hillandale Dr, Annex E, Lithonia, GA 30058-3802 | 2011-04-05 |
| 1043545163 | Karen L Nielson | Nurse Practitioner | 5900 Hillandale Dr, Ste 325, Lithonia, GA 30058-3802 | 2009-10-07 |
| 1912144155 | Saira Tariq Niaz Md PC | Family Medicine | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2009-01-09 |
| 1902065717 | Peniel Womens Center | Obstetrics & Gynecology | 5900 Hillandale Dr, Ste 325, Lithonia, GA 30058-3802 | 2008-06-06 |
| 1417133893 | Hillandale Primary Care | Family Medicine | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2008-01-15 |
| 1689856981 | Capstone Medical Group | Specialist | 5900 Hillandale Dr, Annex E, Lithonia, GA 30058-3802 | 2007-11-29 |
| 1770764979 | Southpoint Eye Care PC | Optometrist | 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802 | 2007-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083137525 | Walter Wendell Williams | Internal Medicine | 6051 Rock Springs Rd, Lithonia, GA 30038-1508 | 2017-07-17 |
| 1396039988 | Moore's Medical Management | Internal Medicine | 5128 Christian Springs Ct, Lithonia, GA 30038-2380 | 2011-06-01 |
| 1942476643 | Naga V A Kommuri | Internal Medicine | 5910 Hillandale Dr Ste 350, Lithonia, GA 30058-1880 | 2008-05-02 |
| 1558551473 | Janah Enterprises Inc | Internal Medicine | 1366 Greenridge Ave, Lithonia, GA 30058-2210 | 2007-07-26 |
| 1467581009 | Oladayo Osinuga Md PC | Internal Medicine | 4348 Klondike Road, Lithonia, GA 30038-4417 | 2007-03-02 |
| 1710038856 | Mercy Internal Medicine Associated PC | Internal Medicine | 8225 Mall Pkwy Ste 240, Lithonia, GA 30038-6995 | 2007-01-16 |
| 1851311856 | Clyde Watkins Jr. | Internal Medicine | 5900 Hillandale Drive, Lithonia, GA 30058 | 2006-07-20 |
| 1417985193 | Faye M Riley | Internal Medicine | 5440 Hillandale Dr, Panola Medical Center, Lithonia, GA 30058-4865 | 2006-06-29 |
| 1316991748 | Olufunso A Ojo | Internal Medicine | 8225 Mall Pkwy, Suite 240, Lithonia, GA 30038-6946 | 2006-05-20 |
| 1801240114 | Kevan Desai | Internal Medicine | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2016-04-22 |
| Find all providers in LITHONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.