| NPI | 1932334869 |
|---|---|
| Doing Business As | WALLACE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LYNN T LANIER VP Of Finance And Operations 252-847-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |