Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE WALLACE, M.D.
ActiveDR. MICHELLE WALLACE, M.D. is a Pediatric Cardiology healthcare provider located in STOCKBRIDGE, Georgia. NPI 1316111719 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1316111719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2008 (18.143150396146 yrs)
- Last Updated
- Jan 25, 2021
- Licenses
-
064090 (GA)141727 (NC)
Practice Information
- Address
-
202 VILLAGE CENTER PKWYSTOCKBRIDGE, GA, 302819044Browse GA providers · Browse ZIP 30281
- Phone
- 4042562593
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
- Additional Specialty
- Pediatrics
Other Pediatric Cardiology Providers in STOCKBRIDGE, GA
| Name | Credential | NPI |
|---|---|---|
| DAVID W JONES | MD | 1245223304 |
| MICHAEL E MCCONNELL | M.D. | 1679523435 |
| ALBERT TUBOKU-METZGER | MD | 1689606782 |
| DR. MATTHEW EDWARD OSTER | MD | 1124159751 |
| RONALD ALLEN LIGON JR. | M.D. | 1073759379 |
| RACHEL AYERS MCKAY | — | 1992085468 |
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.