Wallace Williams

NPI #1801472139 in Leesburg, Georgia

Provider Information

NPI Number
1801472139
Entity Type
Individual
Name
Wallace Williams
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Mar 18, 2021
Last Updated
Mar 18, 2021

Practice Location

Address
118 LAVENDER LN
State
Georgia
ZIP Code
31763-4564
Phone
(229) 434-0717

Specialties & Taxonomy Codes

Specialty
Pharmacist

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