Search › Georgia › 363LA2200X
Katherine Wallace, NP-C
NPI 1548650617 · on the registry since 2015
Practice
- Address
- 118 Enterprise Ct Ste B
Columbus, GA 31904 - Phone
- (706) 330-1389
- Fax
- (706) 330-1392
- Organisation at this address
- Columbus Physical Medicine Center, Inc.
Columbus Joint Pain Solutions And Functional Medicine, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
- Licence states on file
- AL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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