TRACEY C WALLACE

ATLANTA, GA
NPI1265475206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  042483)
Enumeration Date2006-06-14
Last Update Date2021-02-26
Business Address
TRACEY C WALLACE M.D.
3525 PIEDMONT RD NE BLDG 7-601
ATLANTA, GA 30305-1578
Phone number: 770-509-1025
Mailing Address
TRACEY C WALLACE M.D.
1121 JOHNSON FERRY RD SUITE 100
MARIETTA, GA 30068-5425
Phone number: 770-509-1025
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