Kristie Beth Wallace (NPI# 1770881070, PAC ID# 7719148386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1770881070 |
| PAC ID by PECOS | 7719148386 |
| Professional Enrollment ID | I20120410000000 |
| Full Name | Kristie Beth Wallace |
| Address |
703 Bladen St Beaufort SC 29902-4915 |
| Phone Number | 8435221115 |
| Gender | F |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 703 Bladen St, Beaufort, SC 29902-4915 | 8435221115 |
| Street Address |
703 BLADEN ST |
| City | BEAUFORT |
| State | SC |
| Zip | 29902-4915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley Marie Knoebel | Occupational Therapy | Sea Island Rehabilitation Pa | 1119 Pickpocket Plntn Dr, Beaufort, SC 29902-3771 |
| Francis Marion Thorpe Jr. | Physical Therapy | Sea Island Rehabilitation Pa | 1119 Pickpocket Plntn Dr, Beaufort, SC 29902-3771 |
| Delia Istrate | Physical Therapy | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Ainsley Smith Tayloe | Speech Language Pathologist | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Amanda Ann Wright | Speech Language Pathologist | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Travis Jermaine Hicks | Occupational Therapy | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Diana Rose Vander Laan | Speech Language Pathologist | Sea Island Rehabilitation Pa | 109 Old Salem Rd, Beaufort, SC 29902-5113 |
| Charles J Reamy | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1050 Ribaut Rd, Beaufort, SC 29902-5400 |
| Sharon M Kahler | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1050 Ribaut Rd, Beaufort, SC 29902-5400 |
| Kellie C Bishop | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1050 Ribaut Rd, Beaufort, SC 29902-5400 |
| Find all physicians in zip 29902 | |||
| City | BEAUFORT |
| Zip Code | 29902 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BEAUFORT + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kristie Beth Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.