SUSANNAH WALLACE

ATLANTA, GA
NPI1710645866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: GA  RN237785)
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
SUSANNAH WALLACE NP
440 MORELAND AVE SE
ATLANTA, GA 30316-1926
Phone number: 404-688-9300
Mailing Address
SUSANNAH WALLACE NP
1449 FAIRBANKS ST SW
ATLANTA, GA 30310-4349
Phone number:
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