CHARLES T WALLACE

CHARLESTON, SC
NPI1881702736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: SC  05733)
Enumeration Date2006-08-29
Last Update Date2007-10-22
Business Address
CHARLES T WALLACE MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
CHARLES T WALLACE MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414
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