Search › Georgia › 2080P0202X
Michelle Wallace, M.D
NPI 1316111719 · on the registry since 2008
Practice
- Address
- 202 Village Center Pkwy
Stockbridge, GA 30281 - Phone
- (404) 256-2593
- Fax
- (770) 488-9408
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2080P0202X
2080P0202X
- Also registered as
- 208000000X
- Licence states on file
- GA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia