MARLYN WALLACE

Nurse Practitioner

NPI: 1144790973IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

RN182038(GA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2017

Contact & Hours

Address: 3073 KLONDIKE RD SW
CONYERS, GA 30094
Phone: (678) 558-3106

Quick Facts

NPI: 1144790973
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 9

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