TREVOR J WALLACE

MARIETTA, GA
NPI1396281200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  8236)
Enumeration Date2017-01-17
Last Update Date2017-03-27
Business Address
Mr. TREVOR J WALLACE PA-C
61 WHITCHER ST NE SUITE 1100
MARIETTA, GA 30060-1176
Phone number: 770-422-3290
Mailing Address
Mr. TREVOR J WALLACE PA-C
61 WHITCHER ST NE SUITE 1100
MARIETTA, GA 30060-1176
Phone number: 770-422-3290
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