Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOANNA WALLACE
Active Sole ProprietorJOANNA WALLACE is a Early Intervention Provider Agency healthcare provider located in GASTON, South Carolina. NPI 1760989537 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · GASTON, SC
Registration Details
- NPI Number
- 1760989537
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2018 (8.3461458654371 yrs)
- Last Updated
- Apr 15, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
241 WOODCOTE DRGASTON, SC, 290538479Browse SC providers · Browse ZIP 29053
- Phone
- 8033976902
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
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.