MICHAEL T WALLACE

AUGUSTA, GA
NPI1427624170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  12643)
Enumeration Date2021-06-02
Last Update Date2021-06-02
Business Address
MICHAEL T WALLACE MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2273
Mailing Address
MICHAEL T WALLACE MD
1399 WALTON WAY APT 321
AUGUSTA, GA 30901-2685
Phone number: 262-506-8990
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