LAURIE MEAGAN WALLACE

SUMMERVILLE, SC
NPI1831686369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  93547)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NE  2075)
Enumeration Date2018-04-19
Last Update Date2025-05-07
Business Address
LAURIE MEAGAN WALLACE DO
1268 NEXTON PKWY STE 104
SUMMERVILLE, SC 29486-2167
Phone number: 843-212-8080
Mailing Address
LAURIE MEAGAN WALLACE DO
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number:
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