Marlyn Wallace (NPI# 1144790973, PAC ID# 6608102884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144790973 |
| PAC ID by PECOS | 6608102884 |
| Professional Enrollment ID | I20190725001697 |
| Full Name | Marlyn Wallace |
| Organization Legal Name | ATLANTA PLUS URGENT CARE |
| Address |
2121 Salem Rd Se Conyers GA 30013-1823 |
| Phone Number | 7706394360 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133453368 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2121 Salem Rd Se, Conyers, GA 30013-1823 | 7706394360 | ATLANTA PLUS URGENT CARE |
| Organization Legal Name | ATLANTA PLUS URGENT CARE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savonia Grant | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Street Address |
2121 SALEM RD SE |
| City | CONYERS |
| State | GA |
| Zip | 30013-1823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savonia Grant | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopal A Desa | Internal Medicine | 3641 Ga Hwy 20 Se, Suite A, Conyers, GA 30013 | |
| Ndidi E Madu | Family Medicine | 1815 Hwy 138 Se, Suite 800, Conyers, GA 30013 | |
| Danielle Waters | Nurse Practitioner | 1810 Hwy 20 Se, Suite 172, Conyers, GA 30013 | |
| Douglas Robert Slavin | Clinical Psychologist | 1807 Over Lake Drive Se, Suite F, Conyers, GA 30013-1709 | |
| Linda B Hagan | Clinical Social Worker | Hagan Ziegler and Associates PC | 1814 Lakefield Se Ct, Suite A, Conyers, GA 30013-1776 |
| Kaushik Amin | Internal Medicine | 2035 Flat Shoals Serd, Conyers, GA 30013-1809 | |
| Michael Cantrell | Podiatry | 2202 Salem Rd Se, Suite B, Conyers, GA 30013-1843 | |
| Farhana Quasem | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Masood H Siddiquee | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Syed Wasim | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Find all physicians in zip 30013 | |||
| City | CONYERS |
| Zip Code | 30013 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONYERS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marlyn 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.