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1457806622
COLBY EVAN WALLACE
ATLANTA, GA
NPI
1457806622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: GA PT012499)
Enumeration Date
2016-08-17
Last Update Date
2016-08-17
Business Address
Dr. COLBY EVAN WALLACE D.P.T.
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329-2206
Phone number: 404-778-3444
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Mailing Address
Dr. COLBY EVAN WALLACE D.P.T.
7208 NORTHLAKE HEIGHTS CIR NE
ATLANTA, GA 30345-2262
Phone number: 615-653-9596
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