Organization
DR GEORGE M WALLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L OVERMAN (OFFICE MANAGER)
(336) 882-4181
Entity
Organization
Contact information
Practice address
710 N ELM ST, HIGH POINT, NC 27262-3918
(336) 882-4181
(336) 464-2166
Mailing address
710 N ELM ST, HIGH POINT, NC 27262-3918
(336) 882-4181
(336) 464-2166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3016
NC
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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