Tyrone D Wallace, DC

NPI #1780633420 in Lake City, South Carolina

Provider Information

NPI Number: 1780633420
Entity Type: Individual
Name: Tyrone D Wallace, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 9, 2006
Last Updated: Dec 7, 2016

Practice Location

Address: 263 KELLEY ST
Address 2: STE 100
City: Lake City
State: South Carolina
ZIP Code: 29560-2450
Phone: (843) 394-8274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
Wallace Chiropractic and Spinal Rehab, LLC	Chiropractor	Lake City	AI Deep Dive
Fowler Chiropractic	Chiropractor	Lake City	AI Deep Dive

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