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Shantonitt Wallace
NPI 1477262590 · on the registry since 2022
Practice
- Address
- 2209 Pulaski Cir
Valdosta, GA 31602 - Phone
- (229) 618-0021
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Sex
- Female
- Record last updated
- 2022-11-17
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