Individual provider · Type 1 NPI

Megan Wallace

Family Nurse Practitioner · Stone Mountain, GA

NPI number 1386181022 Active

Practice location

2240 W Park Place Blvd Ste A
Stone Mountain, GA 30087-3543

Call (770) 771-5222 Map

Other practice locations

  • 1390 Montreal Rd, Suite 180, Tucker, GA 30084-8143 · (404) 446-4600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN231247 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1386181022

Megan Wallace's National Provider Identifier is 1386181022, issued on Jan 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stone Mountain, GA. The record was last updated on Mar 17, 2018.