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Search › Georgia › 225100000X

Katie Wallace, DPT

NPI 1326260209 · on the registry since 2007 · sole proprietor

Practice

Address
597 S Enota Dr Ne
Gainesville, GA 30501
Phone
(770) 219-8204
Fax
(770) 219-3862
Organisation at this address
Northeast Georgia Physicians Group-Urgent Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-06

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