Individual provider · Type 1 NPI
Catherine Wallace, MD
General Practice Physician · Dallas, GA
NPI number
1154946606
Active
Practice location
243 Merchants Dr
Dallas, GA 30132-4700
Fax (770) 445-5860
Mailing address
243 Merchants Dr Ste A
Dallas, GA 30132-4749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 94669 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1154946606
Catherine Wallace, MD's National Provider Identifier is 1154946606, issued on Jun 10, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dallas, GA. The record was last updated on May 2, 2023.