GREGORY STEPHEN WALLACE MD NPI 1265902092

NPI Information

Gregory Stephen Wallace, MD is a family medicine in Atlanta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gregory Stephen Wallace, MD NPI is 1265902092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1042 MASON WOODS DR NE
ATLANTA, GA
ZIP 30329-802
Phone: (678) 974-7424

The enumeration date for this NPI number is 12/5/2018 and was last updated on 12/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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