Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTONITT WALLACE
ActiveSHANTONITT WALLACE is a Contractor healthcare provider located in VALDOSTA, Georgia. NPI 1477262590 is currently active in the NPPES registry. Verify at CMS.
Contractor · VALDOSTA, GA
Registration Details
- NPI Number
- 1477262590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2022 (3.7337967616323 yrs)
- Last Updated
- Nov 17, 2022
Practice Information
- Address
-
2209 PULASKI CIRVALDOSTA, GA, 316027312Browse GA providers · Browse ZIP 31602
- Phone
- 2296180021
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| KIERRA BRYANT | — | 1396293429 |
| YOLANDA ROBINSON | — | 1114475241 |
| LATOYONA SPEED | — | 1619425550 |
| TANASHA BLAIR | M. ED | 1750839593 |
| SHONETTE KENDRICK | — | 1821546623 |
| REBECCA DUDLEY | — | 1114475944 |
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.