person
Katherine Marie Wallace, NP-C
Adult Health Nurse Practitioner in Columbus, Georgia
NPI 1548650617

Katherine Marie Wallace is an Adult Health Nurse Practitioner based in Opelika, GA and is specialized in Adult Health. Katherine Marie Wallace practices in Columbus, GA and has the professional credentials of NP-C. The NPI Number for Katherine Marie Wallace is 1548650617 and holds a License No. A0714020 (Georgia).

The current practice location address for Katherine Marie Wallace is 118 Enterprise Ct Ste B, Columbus, GA and can be reached out via phone at 706-330-1389 and via fax at 706-330-1392.

Location: 118 Enterprise Ct Ste B, Columbus, GA, 36801-6153
person
Provider Profile Details
NPI Number
1548650617
Provider Name
Katherine Marie Wallace
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
118 Enterprise Ct Ste B, Columbus, GA, 36801-6153
Phone Number
706-330-1389
Fax Number
706-330-1392
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003161276B 05 GA
institution
Provider Business Practice Location Address Details
Address
118 Enterprise Ct Ste B
City
State
Zip
31904-9228
Phone Number
706-330-1389
Fax Number
706-330-1392
person
Provider Business Mailing Address Details
Address
118 Enterprise Ct Ste B
City
State
Zip
31904-9228
Phone Number
706-330-1389
Fax Number
706-330-1392
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
A0714020 (Alabama)
Definition
Definition to come...
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