Search › Georgia › 101Y00000X
O'Keith Wallace, BS, MS, CAMS11
NPI 1316560659 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4830 Lawrenceville Hwy Nw Ste 2b
Lilburn, GA 30047 - Phone
- (770) 676-9216
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2020-05-21
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