DAMON KEITH WALLACE

CHAPEL HILL, NC
NPI1902426430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  261375)
Enumeration Date2020-04-24
Last Update Date2020-04-24
Business Address
DAMON KEITH WALLACE MD
101 MANNING DR
CHAPEL HILL, NC 27514-4220
Phone number: 919-966-5136
Mailing Address
DAMON KEITH WALLACE MD
101 MANNING DR
CHAPEL HILL, NC 27514-4220
Phone number:
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