Williams, Wallace

Williams, Wallace is an sole proprietor health care provider with primary practice located at 118 Lavender Ln , Leesburg GA 31763-4564. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Williams, Wallace can be contacted via phone (229) 434-0717.

Contact Information

Primary practice address
118 Lavender Ln Leesburg GA 31763-4564
Phone: (229) 434-0717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH016680 Georgia

Profile Details

NPI number 1801472139
LBN Legal business name Williams, Wallace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2021
Last updated Mar 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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