Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VALERIE WALLACE
Active Sole ProprietorVALERIE WALLACE is a Bus healthcare provider located in BLYTHEWOOD, South Carolina. NPI 1093166852 is currently active in the NPPES registry. Verify at CMS.
Bus · BLYTHEWOOD, SC
Registration Details
- NPI Number
- 1093166852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2016 (10.128679705297 yrs)
- Last Updated
- Jan 28, 2020
- License
-
007229437 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
833 REDDEN ROWBLYTHEWOOD, SC, 290167221Browse SC providers · Browse ZIP 29016
- Phone
- 9105449103
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.