Heather E Wallace is a gerontology nurse practitioner in Macon, GA. Heather E Wallace NPI is 1053856427. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
535 COLISEUM DR
MACON, GA
ZIP 31217-104
Phone: (478) 972-0277
The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/27/2016.