Individual
KATHERINE MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
118 ENTERPRISE CT STE B, COLUMBUS, GA 31904-9228
(706) 330-1389
(706) 330-1392
Mailing address
2702 BETCHET LANE, OPELIKA, AL 36801-6153
(334) 750-1421
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
A0714020
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
RN243697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161276B
—
GA
Enumeration date
01/28/2015
Last updated
07/21/2022
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