ADAM K WALLACE

COLUMBUS, GA
NPI1235450297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-083374)
Enumeration Date2010-06-14
Last Update Date2010-06-14
Business Address
-- ADAM K WALLACE CRNA
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-494-4262
Mailing Address
-- ADAM K WALLACE CRNA
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-494-4262
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