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Mrs. Candice E Wallace, MD
Emergency Medical Services (Emergency Medicine) Physician in Lawrenceville, Georgia
NPI 1881730687

Candice E Wallace is a Emergency Medical Services (Emergency Medicine) Physician based in Atlanta, GA and is specialized in Emergency Medical Services. Candice E Wallace practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Candice E Wallace is 1881730687 and holds a License No. 030918 (Georgia).

The current practice location address for Candice E Wallace is 1000 Medical Center Blvd, Lawrenceville, GA and can be reached out via phone at 678-442-3317 and via fax at 678-442-4416.

Location: 1000 Medical Center Blvd, Lawrenceville, GA, 30329-3473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881730687
Provider Name
Candice E Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1000 Medical Center Blvd, Lawrenceville, GA, 30329-3473
Phone Number
678-442-3317
Fax Number
678-442-4416
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00405468D 05 GA
institution
Provider Business Practice Location Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30045-7694
Phone Number
678-442-3317
Fax Number
678-442-4416
person
Provider Business Mailing Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30045-7694
Phone Number
678-442-3317
Fax Number
678-442-4416
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
030918 (Georgia)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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