Elizabeth Denise Wallace
Elizabeth Denise Wallace is a Case Management Agency in Vidalia, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
210 N Smalley DrVidalia, GA 30474-6105
Phone: (140) 445-1289
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Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1205680014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2024 |
| Last updated in NPPES | April 16, 2024 |
| Certification date | April 16, 2024 |
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