CANDICE E WALLACE

LAWRENCEVILLE, GA
NPI1881730687
Other NameCANDICE WALLACE DIGGS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: GA  030918)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
Mrs. CANDICE E WALLACE MD
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045-7694
Phone number: 678-442-3317
Mailing Address
Mrs. CANDICE E WALLACE MD
1260 WILDCLIFF CIR NE
ATLANTA, GA 30329-3473
Phone number: 678-442-3317