Search › Georgia › 363LF0000X
Megan Wallace
NPI 1386181022 · on the registry since 2017
Practice
- Address
- 2240 W Park Place Blvd Ste A
Stone Mountain, GA 30087 - Phone
- (770) 771-5222
- Organisation at this address
- Tread Educational Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 1390 Montreal Rd, Tucker, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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