Dorilynn Hatchcock Wallach, LPN is a
Licensed Practical Nurse based in Kingsland, Georgia. Dorilynn Hatchcock Wallach is licensed to practice in Georgia (license number LPN045765) and her current practice location is
600 Charles Gilman Jr Ave, Kingsland, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 729-4554.
NPI number for Dorilynn Hatchcock Wallach is 1891023602 and her current mailing address is 600 Charles Gilman Jr Ave, Kingsland, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891023602.
Provider's Profile
Full Name | Dorilynn Hatchcock Wallach |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 600 Charles Gilman Jr Ave, Kingsland, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891023602
- Provider Enumeration Date: 12/07/2009
- Last Update Date: 12/07/2009
Medical Identifiers
Medical identifiers for Dorilynn Hatchcock Wallach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891023602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LPN045765 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dorilynn Hatchcock Wallach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dorilynn Hatchcock Wallach, LPN 600 Charles Gilman Jr Ave, Kingsland, GA 31548-6290 Ph: (912) 729-4554 | Dorilynn Hatchcock Wallach, LPN 600 Charles Gilman Jr Ave, Kingsland, GA 31548-6290 Ph: (912) 729-4554 |
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