Provider Profile

Kenosha Archie-Wallace

Unclaimed Profile

About Kenosha Archie-Wallace

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Specialty

Credentials & Licensing

NPI1629902192
NPI issued06/10/2026

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What is Kenosha Archie-Wallace's address?

Kenosha Archie-Wallace is listed at 2760 Northside Dr W, Statesboro, GA 30458. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kenosha Archie-Wallace?

The number on file is (912) 208-2024. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kenosha Archie-Wallace's NPI number?

Kenosha Archie-Wallace's National Provider Identifier is 1629902192. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Has Kenosha Archie-Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kenosha Archie-Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.