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BRIAN WALLACE

Physician Assistant

NPI: 1114378759IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

0010-06531(NC)

CMS Specialties

Education

OTHER

Class of 2016

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Contact & Hours

Address
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120

Quick Facts

NPI
1114378759
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
10

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