JESSE WALLACE

LENOIR, NC
NPI1568531416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: KY  19466)
Enumeration Date2006-11-07
Last Update Date2019-06-06
Business Address
JESSE WALLACE M.D.
1138 WATERFALL LN
LENOIR, NC 28645-8943
Phone number: 702-102-7922
Mailing Address
JESSE WALLACE M.D.
1138 WATERFALL LN
LENOIR, NC 28645-8943
Phone number: 702-102-7922
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