EDWARD ALTON WALLACE

CONWAY, SC
NPI1255486452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: SC  13597)
Enumeration Date2007-01-25
Last Update Date2016-12-21
Business Address
DR. EDWARD ALTON WALLACE MD
300 SINGLETON RIDGE RD
CONWAY, SC 29526-9142
Phone number: 843-669-5162
Mailing Address
DR. EDWARD ALTON WALLACE MD
3100 SPRING FOREST RD SUITE 130
RALEIGH, NC 27616-2880
Phone number: 919-882-0705
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