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MARYSA WALLACE, AGNP-C
AGNP-C
Nurse Practitioner
NPI: 1932989357IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
RN259981(GA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
MERCER UNIVERSITY SCHOOL OF MEDICINE
Class of 2016
Contact & Hours
- Address
- 132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215 - Phone
- (678) 817-1117
Quick Facts
- NPI
- 1932989357
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 10
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