JOHN MATHEW WALLACE

WINSTON SALEM, NC
NPI1699489484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  7073)
Enumeration Date2023-01-06
Last Update Date2023-01-06
Business Address
JOHN MATHEW WALLACE CRNA
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-3013
Phone number: 336-718-5000
Mailing Address
JOHN MATHEW WALLACE CRNA
770 EDGEWATER LN NW
KENNESAW, GA 30144-5118
Phone number: 201-919-4717
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