person
Thomas Jeffrey Wallace, DO
Student in an Organized Health Care Education/Training Program in West Columbia, South Carolina
NPI 1730871567

Thomas Jeffrey Wallace is a Student in an Organized Health Care Education/Training Program based in West Columbia, SC. Thomas Jeffrey Wallace practices in West Columbia, SC and has the professional credentials of DO. The NPI Number for Thomas Jeffrey Wallace is 1730871567 and holds a License No. (South Carolina).

The current practice location address for Thomas Jeffrey Wallace is 145 Sunset Ct Ste 100, West Columbia, SC and can be reached out via phone at 803-739-3491. You can also correspond with Thomas Jeffrey Wallace through the mailing address at 145 SUNSET CT STE 100, WEST COLUMBIA, SC - 29169-2429 (mailing address contact number: 803-739-3491).

Location: 145 Sunset Ct Ste 100, West Columbia, SC, 29169-2429
person
Provider Profile Details
NPI Number
1730871567
Provider Name
Thomas Jeffrey Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
145 Sunset Ct Ste 100, West Columbia, SC, 29169-2429
Phone Number
803-739-3491
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
145 Sunset Ct Ste 100
City
State
Zip
29169-2429
Phone Number
803-739-3491
Fax Number
person
Provider Business Mailing Address Details
Address
145 Sunset Ct Ste 100
City
State
Zip
29169-2429
Phone Number
803-739-3491
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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