COLBY EVAN WALLACE

ATLANTA, GA
NPI1457806622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251N0400X Physical Therapist Neurology
(Licence: GA  PT012499)
Enumeration Date2016-08-17
Last Update Date2016-08-17
Business Address
DR. COLBY EVAN WALLACE D.P.T.
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329-2206
Phone number: 404-778-3444
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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