THOMAS JEFFREY WALLACE

WEST COLUMBIA, SC
NPI1730871567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-22
Last Update Date2024-08-23
Business Address
THOMAS JEFFREY WALLACE DO
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169-2429
Phone number: 803-739-3491
Mailing Address
THOMAS JEFFREY WALLACE DO
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169-2429
Phone number: 803-739-3491
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