Dr Michelle Wallace, MD | |
202 Village Center Pkwy, Stockbridge, GA 30281-9044 | |
(404) 256-2593 | |
Not Available |
Full Name | Dr Michelle Wallace |
---|---|
Gender | Female |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 20 Years |
Location | 202 Village Center Pkwy, Stockbridge, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316111719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 064090 (Georgia) | Primary |
208000000X | Pediatrics | 141727 (North Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Children's Healthcare Of Atlanta Cardiology Inc | 6901888395 | 20 |
Entity Name | Children's Healthcare Of Atlanta Cardiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235148727 PECOS PAC ID: 6901888395 Enrollment ID: O20040601000805 |
Mailing Address | Practice Location Address |
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Dr Michelle Wallace, MD 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5540 Ph: () - | Dr Michelle Wallace, MD 202 Village Center Pkwy, Stockbridge, GA 30281-9044 Ph: (404) 256-2593 |
Juan A Lama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Suite B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973 | |
Ronald Allen Ligon Jr., M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593 | |
Dr. Steven W Leard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281 Phone: 678-289-0103 Fax: 678-289-0171 | |
Dr. Matthew Edward Oster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593 | |
Lankala Rajendra Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Ste B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973 | |
Dr. Patrick Neal Pulliam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Country Club Dr Bldg 200a, Stockbridge, GA 30281 Phone: 770-389-4543 Fax: 770-474-0566 | |
David W Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281 Phone: 678-289-1988 Fax: 678-289-1512 |