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Megan Wallace
Family Nurse Practitioner in Stone Mountain, Georgia
NPI 1386181022

Megan Wallace is a Family Nurse Practitioner based in Stone Mountain, GA and is specialized in Family. Megan Wallace practices in Stone Mountain, GA. The NPI Number for Megan Wallace is 1386181022 and holds a License No. RN231247 (Georgia).

The current practice location address for Megan Wallace is 2240 W Park Place Blvd Ste A, Stone Mountain, GA and can be reached out via phone at 770-771-5222.

Location: 2240 W Park Place Blvd Ste A, Stone Mountain, GA, 30087-3543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386181022
Provider Name
Megan Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
2240 W Park Place Blvd Ste A, Stone Mountain, GA, 30087-3543
Phone Number
770-771-5222
Fax Number
Provider Enumeration Date
01/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2240 W Park Place Blvd Ste A
City
Stone Mountain
State
Georgia
Zip
30087-3543
Phone Number
770-771-5222
Fax Number
person
Provider Business Mailing Address Details
Address
2240 W Park Place Blvd Ste A
City
Stone Mountain
State
Georgia
Zip
30087-3543
Phone Number
770-771-5222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN231247 (Georgia)
Definition
Definition to come...
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