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

J D WALLACE ENTERPRISES LLC

Active Organization

J D WALLACE ENTERPRISES LLC is a Community/Behavioral Health organization located in DECATUR, Georgia. NPI 1770894552 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · DECATUR, GA

Registration Details

NPI Number
1770894552
Provider Type
Organization
NPI Issued
Jun 28, 2010 (16.143602767159 yrs)
Last Updated
Jun 28, 2010

Practice Information

Address
4292 MEMORIAL DR STE B
DECATUR, GA, 300321224
Browse GA providers · Browse ZIP 30032
Phone
6789289427
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.