GRANT WALLACE

ATLANTA, GA
NPI1336006642
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN319027)
Enumeration Date2026-01-07
Last Update Date2026-01-07
Business Address
GRANT WALLACE
1520 CLIFTON RD NE STE 244
ATLANTA, GA 30322-4201
Phone number: 404-727-7980
Mailing Address
GRANT WALLACE
72 WALTHALL ST SE UNIT B
ATLANTA, GA 30316-1328
Phone number: 616-438-4241
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