Katherine Marie Wallace, NP-C

NPI #1548650617 in Columbus, Georgia

Provider Information

NPI Number
1548650617
Entity Type
Individual
Name
Katherine Marie Wallace, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Adult Health
Credential
NP-C
Enumeration Date
Jan 28, 2015
Last Updated
Jul 21, 2022

Practice Location

Address
118 ENTERPRISE CT STE B
State
Georgia
ZIP Code
31904-9228
Phone
(706) 330-1389

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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