SearchGeorgia106S00000X

Erika Wallace

NPI 1417511379 · on the registry since 2019 · sole proprietor

Practice

Address
8515 Lyn Ave
Savannah, GA 31406
Phone
(912) 428-5275

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-26

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