SearchNorth Carolina251E00000X

Portia Wallace

NPI 1831427533 · on the registry since 2009 · sole proprietor

Practice

Address
7800 Travers Run Dr
Charlotte, NC 28215
Phone
(704) 506-2315

Registry record

Primary taxonomy
251E00000X
251E00000X
Sex
Female
Record last updated
2009-11-18

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