SHAWN CORBET WALLACE

CARTERSVILLE, GA
NPI1609085232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  020571)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
SHAWN CORBET WALLACE PHARMD
954 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120-2129
Phone number: 770-383-3055
Mailing Address
SHAWN CORBET WALLACE PHARMD
471 HIGHLANDS LOOP
WOODSTOCK, GA 30188-5393
Phone number: 770-592-1707
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