Individual
GINA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4741 ALTAMA AVE, BRUNSWICK, GA 31520-2910
(912) 262-1081
Mailing address
4741 ALTAMA AVE, BRUNSWICK, GA 31520-2910
(912) 262-1081
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH043989
GA
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us