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1528293883
ERICA RENEE WALLACE
GREENSBORO, NC
NPI
1528293883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2012-00866)
Enumeration Date
2009-05-15
Last Update Date
2024-02-19
Business Address
Dr. ERICA RENEE WALLACE D.O.
104 POMONA DR
GREENSBORO, NC 27407-1616
Phone number: 336-268-4100
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Mailing Address
Dr. ERICA RENEE WALLACE D.O.
1234 HUFFMAN MILL RD
BURLINGTON, NC 27215-8700
Phone number: 336-538-1234
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