MARLYN M. WALLACE

CONYERS, GA
NPI1144790973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN182038)
Enumeration Date2018-12-05
Last Update Date2018-12-05
Business Address
MARLYN M. WALLACE
3073 KLONDIKE RD SW
CONYERS, GA 30094-5660
Phone number: 678-558-3106
Mailing Address
MARLYN M. WALLACE
3073 KLONDIKE RD SW
CONYERS, GA 30094-5660
Phone number: 678-558-3106
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