Individual
DR. WALLACE E. COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 WOODHAVEN LN, LAKELAND, FL 33813-2657
(863) 619-5623
(863) 619-5623
Mailing address
5325 WOODHAVEN LN, LAKELAND, FL 33813-2657
(863) 619-5623
(863) 619-5623
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
13057
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME 10909
FL
Other
Enumeration date
06/19/2007
Last updated
06/28/2021
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