Yvonne S Wallace (NPI# 1265521827, PAC ID# 3971606252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1265521827 |
| PAC ID by PECOS | 3971606252 |
| Professional Enrollment ID | I20120125000183 |
| Full Name | Yvonne S Wallace |
| Address |
8350 Rockbridge Rd Lithonia GA 30058-5849 |
| Phone Number | 7707226142 |
| Gender | F |
| Graduation Year | 1978 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8350 Rockbridge Rd, Lithonia, GA 30058-5849 | 7707226142 |
| Street Address |
8350 ROCKBRIDGE RD |
| City | LITHONIA |
| State | GA |
| Zip | 30058-5849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Berman | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Michelle K Carpenter | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 5403 Hillandale Park Ct A, Lithonia, GA 30058 |
| John E Spaulding Jr. | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Marlon G Fisher | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Yara Venita Robertson | General Surgery | Metro Surgical Associates, Inc | 5910 Hillandale Dr, Suite 104, Lithonia, GA 30058-1877 |
| Rogsbert F Phillips | General Surgery | Metro Surgical Associates, Inc | 5910 Hillandale Dr, Suite 104, Lithonia, GA 30058-1877 |
| Sherell Vicks | Internal Medicine | 5910 Hillandale Dr, Suite 202, Lithonia, GA 30058-1877 | |
| Alan R Friedman | General Surgery | Alan R Friedman, Md PC | 5910 Hillandale Dr, Lithonia, GA 30058-1878 |
| Wallace Duncan | Internal Medicine | Privia Medical Group of Georgia LLC | 5910 Hillandale Dr, Suite 355, Lithonia, GA 30058-1880 |
| Clifford R Seward | Ophthalmology | 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802 | |
| Find all physicians in zip 30058 | |||
| City | LITHONIA |
| Zip Code | 30058 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LITHONIA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Yvonne S Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.