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1780614529
ERIC LEE WALLACE
MATTHEWS, NC
NPI
1780614529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 2006-00806)
Enumeration Date
2006-07-04
Last Update Date
2023-08-27
Business Address
Dr. ERIC LEE WALLACE M.D.
1450 MATTHEWS TOWNSHIP PKWY STE 250
MATTHEWS, NC 28105-5331
Phone number: 704-841-1444
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Mailing Address
Dr. ERIC LEE WALLACE M.D.
PO BOX 33369
CHARLOTTE, NC 28233-3369
Phone number: 704-364-8100
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