Michael Wallace
NPI #1558139428 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1558139428
- Entity Type
- Individual
- Name
- Michael Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Dec 19, 2023
- Last Updated
- Dec 19, 2023
Practice Location
- Address
- 1314 N MAIN ST
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-1332
- Phone
- (864) 688-2018
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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