Search › Georgia › 174400000X
James Wallace, ATC
NPI 1992023212 · on the registry since 2010 · sole proprietor
Practice
- Address
- 154 Sugar Cane Dr
Hartwell, GA 30643 - Phone
- (678) 316-3604
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-11
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