Search › South Carolina › 103K00000X
Erica Wallace
NPI 1639802267 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5286 Summerton Hwy
Manning, SC 29102 - Phone
- (803) 225-6332
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-01
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 South Carolina