Wallace, Michelle

Wallace, Michelle is an individual health care provider with primary practice located at 202 Village Center Pkwy , Stockbridge GA 30281-9044. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Wallace, Michelle can be contacted via phone (404) 256-2593.

Contact Information

Primary practice address
202 Village Center Pkwy Stockbridge GA 30281-9044
Phone: (404) 256-2593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 064090 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 141727 North Carolina

Profile Details

NPI number 1316111719
LBN Legal business name Wallace, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Jan 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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