Individual
SARA DAVIS WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 667-9414
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23661
SC
Other
Enumeration date
07/01/2020
Last updated
02/05/2025
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