Terrell Richard Wallace JR. is a Medical Physician Assistant based in Warner Robins, GA and is specialized in Medical. Terrell Richard Wallace JR. practices in Warner Robins, GA and has the professional credentials of PAC. The NPI Number for Terrell Richard Wallace JR. is 1356399828 and holds a License No. 002665 (Georgia).
The current practice location address for Terrell Richard Wallace JR. is 136 South Houston Lake Road, Warner Robins, GA and can be reached out via phone at 478-953-1020 and via fax at 478-953-5406.
Identifier | Type | State | Issuer |
---|---|---|---|
DC3326 | 01 | MCR RR | |
P00162033 | 01 | MCR RR |
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