Marlyn M. Wallace
NPI #1144790973 in Conyers, Georgia
Provider Information
- NPI Number
- 1144790973
- Entity Type
- Individual
- Name
- Marlyn M. Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 5, 2018
- Last Updated
- Dec 5, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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