HEATHER ELIZABETH GORDON WALLACE

CHARLESTON, SC
NPI1962993634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  21745)
Enumeration Date2018-05-29
Last Update Date2026-03-30
Business Address
HEATHER ELIZABETH GORDON WALLACE FNP
1879 SAVAGE RD
CHARLESTON, SC 29407-4726
Phone number: 843-763-9472
Mailing Address
HEATHER ELIZABETH GORDON WALLACE FNP
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 888-472-0043
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