KATHERINE MARIE WALLACE

COLUMBUS, GA
NPI1548650617
Former NameKATHERINE MARIE HORNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN243697)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: AL  A0714020)
Enumeration Date2015-01-28
Last Update Date2022-07-21
Business Address
KATHERINE MARIE WALLACE NP-C
118 ENTERPRISE CT STE B
COLUMBUS, GA 31904-9228
Phone number: 706-330-1389
Mailing Address
KATHERINE MARIE WALLACE NP-C
2702 BETCHET LANE
OPELIKA, AL 36801-6153
Phone number: 334-750-1421