Trevor Dewitt Wallace

NPI #1003339094 in Suwanee, Georgia

Provider Information

NPI Number: 1003339094
Entity Type: Individual
Name: Trevor Dewitt Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jul 20, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 571 EVA KENNEDY RD APT 8
City: Suwanee
State: Georgia
ZIP Code: 30024-3008
Phone: (770) 369-1497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Tracie R Valera, CEO	Contractor	Suwanee	AI Deep Dive
Ashley Caldwell	Contractor	Suwanee	AI Deep Dive
MR. David John Leandro, C.PED	Contractor	Lilburn	AI Deep Dive

Organizations

Provider Name	Specialty	City
Pos INC DBA Atlanta Therapy Services	Contractor	Conyers	AI Deep Dive
Pch Services INC	Contractor	Norcross	AI Deep Dive

Want to research this healthcare provider further?

Try NewBizBot free