Search › North Carolina › 1710I1002X
Bryan Wallace, SOIDC
NPI 1336825926 · on the registry since 2023
Practice
- Address
- 1st Marine Raider Battalion
Stone Bay
Camp Lejeune, NC 28542 - Phone
- (910) 440-2504
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2023-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina