IndividualActive
Austin Wallace
NPI 1063901023 · Orthopaedic Trauma Physician · Savannah, GA
Provider details
- NPI number
- 1063901023
- Entity type
- Individual
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ME163050 (FL)
Mailing address
210 E Derenne Ave
Savannah, GA 31405-6736
Registry dates
- Enumerated
- 2018-05-05
- Last updated
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.