THERRION WALLACE
NPI 1316813413
In Home Supportive Care in Augusta, GA
About Therrion Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERRION WALLACE (NPI 1316813413) is an individual in home supportive care provider in Augusta, Georgia and active in the NPI registry since October 2025.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Therrion Wallace's NPI number?
The NPI number for Therrion Wallace is 1316813413. It was assigned to this individual provider in the NPPES registry on October 15, 2025.
Where is Therrion Wallace located?
Therrion Wallace practices at 2412 Antebellum Dr # A, Augusta, GA 30906. The listed phone number is (706) 372-3886.
What is Therrion Wallace's specialty?
The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.
When was this NPI record last updated?
The NPPES record for Therrion Wallace was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.