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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CATHERINE WALLACE, MD

Active

CATHERINE WALLACE, MD is a General Practice healthcare provider located in DALLAS, Georgia. NPI 1154946606 is currently active in the NPPES registry. Verify at CMS.

General Practice · DALLAS, GA

Registration Details

NPI Number
1154946606
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2020 (6.2005801152237 yrs)
Last Updated
May 2, 2023
License
94669 (GA)

Practice Information

Address
243 MERCHANTS DR
DALLAS, GA, 301324700
Browse GA providers · Browse ZIP 30132
Phone
7702309967
Fax
7704455860
Primary Specialty
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.