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1386181022
MEGAN WALLACE
STONE MOUNTAIN, GA
NPI
1386181022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN231247)
Enumeration Date
2017-01-19
Last Update Date
2018-03-17
Business Address
MEGAN WALLACE
2240 W PARK PLACE BLVD STE A
STONE MOUNTAIN, GA 30087-3543
Phone number: 770-771-5222
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Mailing Address
MEGAN WALLACE
2240 W PARK PLACE BLVD STE A
STONE MOUNTAIN, GA 30087-3543
Phone number:
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