Wallace, Marilyn G

Wallace, Marilyn G is an individual health care provider with primary practice located at 2707 Medical Office Pl , Goldsboro NC 27534-9458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Wallace, Marilyn G can be contacted via phone (919) 735-9146.

Contact Information

Primary practice address
2707 Medical Office Pl Goldsboro NC 27534-9458
Fax: (919) 735-0582
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 33514 North Carolina

Profile Details

NPI number 1306256201
LBN Legal business name Wallace, Marilyn G
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Apr 30th, 2014 - about 10 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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