Wallace, Stephanie R

Wallace, Stephanie R is an individual health care provider with primary practice located at 1230 Baxter St , Athens GA 30606-3712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wallace, Stephanie R can be contacted via phone (706) 389-2273.

Contact Information

Primary practice address
1230 Baxter St Athens GA 30606-3712
Phone: (706) 389-2273
Fax: (706) 389-2298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN136273 Georgia

Profile Details

NPI number 1124087879
LBN Legal business name Wallace, Stephanie R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 15th, 2024 - about 8 months 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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