Individual
ALISON NICOLE WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
790 CHURCH ST NE STE 150, MARIETTA, GA 30060-8950
(770) 427-1471
Mailing address
204 LONGLEAF CT, CANTON, GA 30114-1909
(770) 851-9920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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