Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARILYN G WALLACE, LPN
ActiveMRS. MARILYN G WALLACE, LPN is a Otolaryngology healthcare provider located in GOLDSBORO, North Carolina. NPI 1306256201 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · GOLDSBORO, NC
Registration Details
- NPI Number
- 1306256201
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2014 (12.250345206497 yrs)
- Last Updated
- Apr 30, 2014
- License
-
33514 (NC)
Practice Information
- Address
-
2707 MEDICAL OFFICE PLGOLDSBORO, NC, 275349458Browse NC providers · Browse ZIP 27534
- Phone
- 9197359146
- Fax
- 9197350582
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in GOLDSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| MS. FAWN SERENE CALLIE | PA-C | 1932184611 |
| DR. MICHAEL JOHNSON | MD, FACS | 1083690572 |
| SAMUEL P DAVIS III | MD | 1982631768 |
| COLLIN DANIEL SMITH | DO | 1932606464 |
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.