Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYRONE D WALLACE, DC
Active Sole ProprietorTYRONE D WALLACE, DC is a Chiropractor healthcare provider located in LAKE CITY, South Carolina. NPI 1780633420 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · LAKE CITY, SC
Registration Details
- NPI Number
- 1780633420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (20.266849163332 yrs)
- Last Updated
- Dec 7, 2016
- License
-
1873 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
263 KELLEY STSTE 100LAKE CITY, SC, 295602450Browse SC providers · Browse ZIP 29560
- Phone
- 8433948274
- Fax
- 8433941604
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in LAKE CITY, SC
| Name | Credential | NPI |
|---|---|---|
| TERRELL E FOWLER III | D.C | 1205990066 |
| DR. CHUCKY SENTELL JORDAN | D.C. | 1841656527 |
| DR. REGINEL SIMON | DC | 1679170856 |
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.