Dr. Michelle Wallace
M.D. | Pediatric Cardiology | Female
Dr. Michelle Wallace, M.D. is a Stockbridge, Georgia based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Michelle Wallace is
202 Village Center Pkwy, Stockbridge, Georgia - 30281-9044. She can be contacted on phone at
404-256-2593.
Dr. Michelle Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Michelle Wallace is
1316111719 which was assigned by NPPES on 16 Apr, 2008 and it was last updated on 25 Jan, 2021.
Dr. Michelle Wallace license number is
064090 for Pediatrics Pediatric Cardiology (2080P0202X) in Georgia.
Dr. Michelle Wallace provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Michelle Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
|---|
| Provider Name : | Dr. Michelle Wallace |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Michelle Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 202 Village Center Pkwy
Stockbridge, GA, 30281-9044
United States |
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| Phone Number : | 404-256-2593 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316111719 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Apr, 2008 |
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| Last Updated On : | 25 Jan, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michelle Wallace are as mentioned. Primary taxonomy code for Dr. Michelle Wallace, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 141727 | NC |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 064090 | GA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sibley@choa.gadirect.com
Sibley | | HIE
Health Information Exchange (HIE)
| OTHER
Other
PHI | 202 VILLAGE CENTER PKWY,
STOCKBRIDGE, GA, 30281-9044
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2835 Brandywine Rd, Suite 300
Atlanta, GA, 30341-5540
United States |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Michelle Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.