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

LAURA J WALLACE, CNM

Active

LAURA J WALLACE, CNM is a Advanced Practice Midwife healthcare provider located in STOCKBRIDGE, Georgia. NPI 1679047005 is currently active in the NPPES registry. Verify at CMS.

Advanced Practice Midwife · STOCKBRIDGE, GA

Registration Details

NPI Number
1679047005
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2019 (7.4262128556178 yrs)
Last Updated
Jan 18, 2019
License
RN067198 (GA)

Practice Information

Address
115 EAGLE SPRING DR STE A200
STOCKBRIDGE, GA, 302816486
Browse GA providers · Browse ZIP 30281
Phone
7704740064
Fax
7704742998
Primary Specialty
Advanced Practice Midwife
367A00000X

Other Advanced Practice Midwife Providers in STOCKBRIDGE, GA

Name Credential NPI
MARCIA HARMON CNM 1609857804
HELEN M BAILEY 1164523510
SHNIQUAL ADAMS CNM 1922457167
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.