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Laura Wallace, CNM
NPI 1679047005 · on the registry since 2019
Practice
- Address
- 115 Eagle Spring Dr Ste A200
Stockbridge, GA 30281 - Phone
- (770) 474-0064
- Fax
- (770) 474-2998
- Organisation at this address
- Women'S Imaging Specialists - Eagles Landing, Llc
Digital Mammography Specialists-Eagles Landing, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Advanced Practice Midwife
367A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-18
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