Guy Wallace

NPI #1003161639 in Atlanta, Georgia

Provider Information

NPI Number
1003161639
Entity Type
Individual
Name
Guy Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jul 19, 2012
Last Updated
Jul 19, 2012

Practice Location

Address
500 BROOKHAVEN AVE NE
State
Georgia
ZIP Code
30319-3291
Phone
(404) 460-1924

Specialties & Taxonomy Codes

Specialty
Pharmacist

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