Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Robert G. Wallace, MD

Individual provider Nuclear Radiology Physician · NPI 1780015610

Dr. Robert G. Wallace, MD is a Nuclear Radiology Physician in Fortson, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1130 Goat Rock Rd
Fortson, GA 31808
Phone: (706) 323-6485
Fax: (706) 596-2025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 13317 (GA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 13317 (GA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 13317 (GA)

Record details

NPI number1780015610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 3, 2013
Last updated in NPPESDecember 3, 2013