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HEATHER WALLACE

Gerontology Nurse Practitioner

NPI: 1053856427Individual

Specialties, Licenses & Credentials

Nurse Practitioner — Gerontology

Code: 363LG0600X

RN197918(GA)

Nurse Practitioner

Code: 363L00000X

RN197918(GA)

Contact & Hours

Address
535 COLISEUM DR
MACON, GA 31217

Quick Facts

NPI
1053856427
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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