Search › Georgia › 363A00000X
Lucy-Bertha Wallang, PA-C
NPI 1538111539 · on the registry since 2006
Practice
- Address
- 2675 Main St W
Snellville, GA 30078 - Phone
- (770) 866-5147
- Clinicians at this address
- 4
Additional practice sites
- 333 1st St Ste A, San Francisco, CA
- 400 N Tampa St Fl 15, Tampa, FL
- 505 E Grand Ave Ste 200, Des Moines, IA
- 156 William St Rm 303, New York, NY
- 1331 H St Nw Ste 200, Washington, DC
- 790 N Milwaukee St Ste 313, Milwaukee, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363AM0700X
363AM0700X
363AM0700X
363AM0700X
363AM0700X
363AM0700X - Licence states on file
- CA, NY, FL, DC, IA, WI, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-06
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