Wallace, Abby
Wallace, Abby is an individual health care provider with primary practice located at 1875 Fant Dr , Fort Oglethorpe GA 30742-3307. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wallace, Abby can be contacted via phone (706) 806-1169.Contact Information
Primary practice address
1875 Fant Dr
Fort Oglethorpe GA 30742-3307
Phone: (706) 806-1169
Fax: (706) 806-1186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC003548 | Georgia |
Profile Details
| NPI number | 1376897694 |
|---|---|
| LBN Legal business name | Wallace, Abby |
| Credentials | LAPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2012 |
| Last updated | Nov 8th, 2012 - about 13 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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