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Chasity Wallace
NPI 1619737582 · on the registry since 2024
Practice
- Address
- 633 Brennan Ln Sw
Atlanta, GA 30310 - Phone
- (404) 441-9768
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2024-03-19
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