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James Joseph Wallace, ATC
Specialist in Hartwell, Georgia
NPI 1992023212

James Joseph Wallace is a Specialist based in Hartwell, GA. James Joseph Wallace practices in Hartwell, GA and has the professional credentials of ATC. The NPI Number for James Joseph Wallace is 1992023212 and holds a License No. 080202060 (Georgia).

The current practice location address for James Joseph Wallace is 154 Sugar Cane Dr, Hartwell, GA and can be reached out via phone at 678-316-3604.

Location: 154 Sugar Cane Dr, Hartwell, GA, 30643-8120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992023212
Provider Name
James Joseph Wallace
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
154 Sugar Cane Dr, Hartwell, GA, 30643-8120
Phone Number
678-316-3604
Fax Number
Provider Enumeration Date
05/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
154 Sugar Cane Dr
City
Hartwell
State
Georgia
Zip
30643-8120
Phone Number
678-316-3604
Fax Number
person
Provider Business Mailing Address Details
Address
154 Sugar Cane Dr
City
Hartwell
State
Georgia
Zip
30643-8120
Phone Number
678-316-3604
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
080202060 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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