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Trevor Wallace
NPI 1003339094 · on the registry since 2017 · sole proprietor
Practice
- Address
- 571 Eva Kennedy Rd Apt 8
Suwanee, GA 30024 - Phone
- (770) 369-1497
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia