Search › Georgia › 207Q00000X
Gregory Wallace, MD
NPI 1265902092 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1042 Mason Woods Dr Ne
Atlanta, GA 30329 - Phone
- (678) 974-7424
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- CA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia