NPI 1003124025
Jermaine Wallace
Practice location
- Address
- 223 E Main St Suite 300, Rock Hill, SC 29730-4571
- Phone
- (803) 328-9600
- Fax
- (803) 328-7141
- Mailing address
- 250 Piedmont Blvd, Rock Hill, SC 29732-1835
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003124025
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Sep 2010
- Record last updated
- 24 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.