TYRONE WALLACE, DC
Chiropractor
Active
Individual
NPI: 1780633420
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Chiropractor | 111N00000X | Yes | 1873 (SC) |
Frequently Asked Questions
NPI 1780633420 is the National Provider Identifier for TYRONE WALLACE, DC, a Chiropractor provider located in Lake City, SC. This NPI was enumerated on May 9, 2006.
TYRONE WALLACE, DC practices at 263 KELLEY ST, STE 100, Lake City, SC 29560.
Quick Facts
- NPI
- 1780633420
- Type
- Individual
- Enumerated
- May 9, 2006
- Last Updated
- Dec 7, 2016
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