REX MICHAEL WALLACE

ATHENS, GA
NPI1629960315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN286080)
Enumeration Date2025-07-17
Last Update Date2025-10-09
Business Address
REX MICHAEL WALLACE NP
1061 DOWDY RD
ATHENS, GA 30606-5700
Phone number: 706-621-7555
Mailing Address
REX MICHAEL WALLACE NP
964 MAULDIN RD
JEFFERSON, GA 30549-1308
Phone number: 706-654-8899
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