Individual
DR. KRISTEN KOENIG WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2655
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85671
GA
Other
Enumeration date
06/15/2009
Last updated
02/18/2025
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