MEDICARE: DR. WALLACE R WEEKS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25066	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689671323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALLACE R WEEKS M.D.

Provider Business Mailing Address
First Line	:	1107 MEMORIAL DR
Second Line	:	SUITE 300
City	:	DALTON
State	:	GA
Zip	:	30720-8662
Country	:	US
Telephone Number	:	706-226-3139
Fax Number	:	706-278-6606

Provider Business Practice Location Address
First Line	:	1107 MEMORIAL DR
Second Line	:	SUITE 300
City	:	DALTON
State	:	GA
Zip	:	30720-8662
Country	:	US
Telephone Number	:	706-226-3139
Fax Number	:	706-278-6606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	12/17/2013

Similar Medicare Providers

1255888053 — HEIDI JOY TRUJILLO NP-C
Practice Location Address:

1107 MEMORIAL DR STE G2
DALTON, GA
30720-8662

Practice Phone: 706-529-3245
Practice Fax: 706-272-6077

1659530004 — JANE S. CLARK
Practice Location Address:

1107 MEMORIAL DR , SUITE 201
DALTON, GA
30720-8662

Practice Phone: 706-277-7311
Practice Fax:

1033524368 — UMAMA ADIL MD
Practice Location Address:

1107 MEMORIAL DR STE 100
DALTON, GA
30720-8662

Practice Phone: 706-529-3072
Practice Fax: 706-529-3077

1134117609 — BRADLEY DELAY M.D.
Practice Location Address:

1107 MEMORIAL DR STE G2
DALTON, GA
30720-8662

Practice Phone: 706-529-3245
Practice Fax: 706-272-6007

1962484055 — DR. TIMOTHY J SNODGRASS D.O.
Practice Location Address:

1107 MEMORIAL DR STE 200
DALTON, GA
30720-8662

Practice Phone: 706-226-9355
Practice Fax: 706-217-2054

1821046046 — GASTROINTESTINAL SPECIALISTS, P.C.
Practice Location Address:

1107 MEMORIAL DR , SUITE G10
DALTON, GA
30720-8662

Practice Phone: 706-272-4127
Practice Fax:

Directions to “ DR. WALLACE R WEEKS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.