NPI 1063901023

Austin William Wallace

Practitioner Orthopaedic Trauma Physician Savannah, GA

Practice location

Address: 210 E Derenne Ave, Savannah, GA 31405-6736
Phone: (912) 644-5300

Registered specialties (3)

Orthopaedic Trauma Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0801X Licence 101390 (GA)

Other Orthopaedic Surgery providers in Georgia →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence ME163050 (FL)

Orthopaedic Trauma Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0801X Licence ME163050 (FL)

Registry record

NPI: 1063901023
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2018
Record last updated: 10 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.