Maggie Mae Wallace
NPI #1366098642 in Gulf Shores, Alabama
Provider Information
- NPI Number
- 1366098642
- Entity Type
- Individual
- Name
- Maggie Mae Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 13, 2019
- Last Updated
- Nov 13, 2023
Practice Location
- Address
- 200 OFFICE PARK DR
- City
- Gulf Shores
- State
- Alabama
- ZIP Code
- 36542-3432
- Phone
- (251) 968-7379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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