| Heather E Wallace, | |
|
535 Coliseum Dr, Macon, GA 31217-0104 | |
| (478) 972-0277 | |
| Not Available |
| Full Name | Heather E Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 535 Coliseum Dr, Macon, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053856427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | RN197918 (Georgia) | Primary |
| 363L00000X | Nurse Practitioner | RN197918 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Heather E Wallace, Po Box 26698, Macon, GA 31221-6698 Ph: (478) 972-0277 | Heather E Wallace, 535 Coliseum Dr, Macon, GA 31217-0104 Ph: (478) 972-0277 |
Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932 | |
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345 | |
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191 | |
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 | |
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3888 Northside Dr, Macon, GA 31210 Phone: 478-477-4044 Fax: 478-477-7076 | |
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092 | |
Ms. Mirela Danaj, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201 Phone: 478-633-7550 |