MICHAEL T WALLACE

FORT MOORE, GA
NPI1427624170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  12643)
Enumeration Date2021-06-02
Last Update Date2024-08-02
Business Address
MICHAEL T WALLACE MD
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905-2102
Phone number: 762-408-2604
Mailing Address
MICHAEL T WALLACE MD
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905-2102
Phone number: 262-506-8990
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