Organization
JEFFREY N WALLACE DC PC
Active
Other names
Carroll Chiropractic and Sports Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY N WALLACE D.C. (OWNER)
(141) 087-6888
Entity
Organization
Contact information
Practice address
330 140 VILLAGE RD, UNIT 9A, WESTMINSTER, MD 21157-6127
(410) 876-8881
(410) 848-6343
Mailing address
330 140 VILLAGE RD STE 9A, WESTMINSTER, MD 21157-6127
(410) 876-8881
(410) 848-6343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01780
MD
Other
Enumeration date
03/26/2007
Last updated
10/09/2023
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