Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003339094 Individual Practitioner Male Practitioner

Trevor Dewitt Wallace

Contractor • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Trevor Wallace is a registered healthcare professional specializing in Contractor in Suwanee, GA. Practice services are available at 571 EVA KENNEDY RD APT 8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

571 Eva Kennedy Rd Apt 8

Suwanee, GA 300243008

Telephone 7703691497

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Suwanee, GA (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2017

Registered at 571 EVA KENNEDY RD APT 8, SUWANEE, GA 300243008 (Tel: (770) 369-1497)

📍
Updated Business Mailing Address July 20, 2017

Registered at 571 EVA KENNEDY RD APT 8, SUWANEE, GA 300243008 (Tel: 7703691497)

👤
Provider Name / Credentials Updated July 20, 2017

Recorded as TREVOR WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Contractor

🟢
Initial NPI Registration & Enumeration July 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Trevor Wallace. Be the first to share your experience!

Sign in to leave a review for Trevor Wallace

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003339094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

571 Eva Kennedy Rd Apt 8

Suwanee, GA 300243008

Phone: 7703691497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.