Mr. James Lewis Wallace Jr., CPO
Mr. James Lewis Wallace Jr., CPO is an Orthotist in Charlotte, North Carolina. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1901 Brunswick Ave Ste 200Charlotte, NC 28207-2809
Phone: (704) 348-4488
Fax: (704) 348-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X |
|---|---|
| Prosthetist | Taxonomy 224P00000X |
Record details
| NPI number | 1396891933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | No |
| NPI enumerated | January 26, 2007 |
| Last updated in NPPES | July 23, 2010 |
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