MICHAEL ROBERT WALLACE

VALDOSTA, GA
NPI1295828416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: GA  599)
Enumeration Date2006-10-02
Last Update Date2013-09-18
Business Address
Dr. MICHAEL ROBERT WALLACE DPM
2800 N OAK ST
VALDOSTA, GA 31602-1716
Phone number: 229-244-1211
Mailing Address
Dr. MICHAEL ROBERT WALLACE DPM
2800 N OAK ST
VALDOSTA, GA 31602-1716
Phone number: 229-244-1211
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