Wallace, Tonya Renee
Wallace, Tonya Renee is an sole proprietor health care provider with primary practice located at 3527 Memorial Dr Unit W , Decatur GA 30032-2731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Tonya Renee can be contacted via phone (888) 663-6331.Contact Information
Primary practice address
3527 Memorial Dr Unit W
Decatur GA 30032-2731
Phone: (888) 663-6331
Fax: (415) 252-7176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN161712 | Georgia |
Profile Details
| NPI number | 1730563982 |
|---|---|
| LBN Legal business name | Wallace, Tonya Renee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2015 |
| Last updated | Apr 17th, 2025 - about last year |
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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