Wallace, Laura J

Wallace, Laura J is an individual health care provider with primary practice located at 115 Eagle Spring Dr Ste A200 , Stockbridge GA 30281-6486. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wallace, Laura J can be contacted via phone (770) 474-0064.

Contact Information

Primary practice address
115 Eagle Spring Dr Ste A200 Stockbridge GA 30281-6486
Fax: (770) 474-2998
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN067198 Georgia

Profile Details

NPI number 1679047005
LBN Legal business name Wallace, Laura J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2019
Last updated Jan 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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