Search › Virginia › 172A00000X
Alfred Wallace
NPI 1518614734 · on the registry since 2022
Practice
- Address
- 4703 Revolutionary Way
Williamsburg, VA 23188 - Phone
- (804) 543-7493
- Organisation at this address
- Safe Move Transportation Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Male
- Record last updated
- 2022-03-08
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 Virginia