Search › North Carolina › 207R00000X
Jesse Wallace, M.D
NPI 1568531416 · on the registry since 2006
Practice
- Address
- 1138 Waterfall Ln
Lenoir, NC 28645 - Phone
- (702) 102-7922
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-06
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 North Carolina