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Individual

MR. WALLACE HENRY TORBERT III

Active
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Individual

MR. WALLACE HENRY TORBERT III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010232
GA
363A00000X
Physician Assistant
11007
AZ
363A00000X
Physician Assistant
PA.0009167
CO
363A00000X
Physician Assistant
PA101520
MA
363A00000X
Physician Assistant
Primary
PA9116491
FL

Other

Enumeration date
12/14/2020
Last updated
04/21/2025
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