Sidiqat Wallace
Sidiqat Wallace is an Other Technician in Charlotte, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
525 N Tryon St Ste 1600Charlotte, NC 28202-0213
Phone: (855) 832-6727
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1629843552 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 21, 2023 |
| Last updated in NPPES | May 1, 2025 |
| Certification date | May 1, 2025 |
| Mailing address | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 |
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Vernon Christian Paris Tindal
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525 N Tryon St Ste 600, Charlotte, NC 28202-0202 · (855) 832-6727
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Bethany Jonina Wickham
525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 · (855) 832-6727
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Miss. Mia Elizabeth Wiggs
525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 · (855) 832-6727
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Brittany Williams
525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 · (855) 832-6727