All Medicaid billing entities listing WALLACE, CHARLES (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Connecticut | 1 | $31K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SURGICAL CENTER OF CONNECTICUT LLC | BRIDGEPORT, CT | Ambulatory Surgical Clinic/Center | $31K |