GARRETT JAMES WALLACE

CARROLLTON, GA
NPI1396403325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  100700)
Enumeration Date2021-12-07
Last Update Date2025-12-14
Business Address
Mr. GARRETT JAMES WALLACE
705 DIXIE ST
CARROLLTON, GA 30117-3818
Phone number: 770-812-9666
Mailing Address
Mr. GARRETT JAMES WALLACE
705 DIXIE ST
CARROLLTON, GA 30117-3818
Phone number: 770-812-9666
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