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Elizabeth Wallace

NPI 1205680014 · on the registry since 2024 · sole proprietor

Practice

Address
210 N Smalley Dr
Vidalia, GA 30474
Phone
(140) 445-1289

Registry record

Primary taxonomy
251B00000X
251B00000X
Sex
Female
Record last updated
2024-04-16

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