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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAMES LEWIS WALLACE JR., CPO

Active

MR. JAMES LEWIS WALLACE JR., CPO is a Orthotist healthcare provider located in CHARLOTTE, North Carolina. NPI 1396891933 is currently active in the NPPES registry. Verify at CMS.

Orthotist · CHARLOTTE, NC

Registration Details

NPI Number
1396891933
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2007 (19.511479757942 yrs)
Last Updated
Jul 23, 2010

Practice Information

Address
1901 BRUNSWICK AVE
SUITE 200
CHARLOTTE, NC, 282072809
Browse NC providers · Browse ZIP 28207
Phone
7043484488
Fax
7043484496
Primary Specialty
Orthotist
222Z00000X

Other Orthotist Providers in CHARLOTTE, NC

Name Credential NPI
JEFFREY T MCGINNIS CO 1689876617
VANESSA ZAUN 1326291881
MRS. MELANIE H BROCATO CPO 1952533457
JUSTIN G RUECHEL CO 1669797015
KATHERINE HAUSMANN CO 1568730968
DANIELLE RENEE SMITH C.O. 1174965305
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.