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1154946606
CATHERINE WALLACE
DALLAS, GA
NPI
1154946606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: GA 94669)
Enumeration Date
2020-06-10
Last Update Date
2023-05-02
Business Address
CATHERINE WALLACE MD
243 MERCHANTS DR
DALLAS, GA 30132-4700
Phone number: 770-230-9967
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Mailing Address
CATHERINE WALLACE MD
243 MERCHANTS DR STE A
DALLAS, GA 30132-4749
Phone number: 404-543-4506
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