Therrion Wallace
NPI #1316813413 in Augusta, Georgia
Provider Information
- NPI Number
- 1316813413
- Entity Type
- Individual
- Name
- Therrion Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Oct 15, 2025
- Last Updated
- Oct 15, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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