JAMES LEWIS WALLACE

CHARLOTTE, NC
NPI1396891933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
Additional Taxonomies224P00000X Prosthetist
Enumeration Date2007-01-26
Last Update Date2010-07-23
Business Address
MR. JAMES LEWIS WALLACE CPO
1901 BRUNSWICK AVE SUITE 200
CHARLOTTE, NC 28207-2809
Phone number: 704-348-4488
Mailing Address
MR. JAMES LEWIS WALLACE CPO
PO BOX 24905
WINSTON SALEM, NC 27114-4905
Phone number: 336-397-2165
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