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Brian Wallace
NPI 1114378759 · on the registry since 2016
Practice
- Address
- 125 W Catawba Ave
Mount Holly, NC 28120 - Phone
- (704) 827-3014
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-06
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 North Carolina