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1396987657
TIMOTHY BRIAN WALLACE
ATLANTA, GA
NPI
1396987657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MD D75606)
Enumeration Date
2009-04-01
Last Update Date
2019-06-05
Business Address
TIMOTHY BRIAN WALLACE M.D.
550 PEACHTREE ST NE
ATLANTA, GA 30308-2212
Phone number: 404-778-3900
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Mailing Address
TIMOTHY BRIAN WALLACE M.D.
443 E LAKE DR
DECATUR, GA 30030-3531
Phone number: 912-507-5962
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