SALLIE C WALLACE

COLUMBIA, SC
NPI1386601516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  1697)
Enumeration Date2006-05-01
Last Update Date2025-10-01
Business Address
Ms. SALLIE C WALLACE ATC
11000 HURTGEN FOREST RD
COLUMBIA, SC 29207-5020
Phone number: 704-995-1867
Mailing Address
Ms. SALLIE C WALLACE ATC
11000 HURTGEN FOREST RD
COLUMBIA, SC 29207-5020
Phone number: 803-751-6609
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