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Shantonitt Wallace
Contractor in Valdosta, Georgia
NPI 1477262590

Shantonitt Wallace is a Contractor based in Valdosta, GA. Shantonitt Wallace practices in Valdosta, GA. The NPI Number for Shantonitt Wallace is 1477262590 and holds a License No. (Georgia).

The current practice location address for Shantonitt Wallace is 2209 Pulaski Cir, Valdosta, GA and can be reached out via phone at 229-618-0021.

Location: 2209 Pulaski Cir, Valdosta, GA, 31602-7312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477262590
Provider Name
Shantonitt Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
2209 Pulaski Cir, Valdosta, GA, 31602-7312
Phone Number
229-618-0021
Fax Number
Provider Enumeration Date
11/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2209 Pulaski Cir
City
Valdosta
State
Georgia
Zip
31602-7312
Phone Number
229-618-0021
Fax Number
person
Provider Business Mailing Address Details
Address
2209 Pulaski Cir
City
Valdosta
State
Georgia
Zip
31602-7312
Phone Number
229-618-0021
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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