| Mrs Marilyn G Wallace, LPN | |
|
2707 Medical Office Pl, Goldsboro, NC 27534-9458 | |
| (919) 735-9146 | |
| (919) 735-0582 |
| Full Name | Mrs Marilyn G Wallace |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Location | 2707 Medical Office Pl, Goldsboro, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306256201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 33514 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marilyn G Wallace, LPN 2707 Medical Office Pl, Goldsboro, NC 27534-9458 Ph: (919) 735-9146 | Mrs Marilyn G Wallace, LPN 2707 Medical Office Pl, Goldsboro, NC 27534-9458 Ph: (919) 735-9146 |
Dr. Michael Johnson, MD, FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582 | |
Ms. Fawn Serene Callie, PA-C Otolaryngology Medicare: Medicare Enrolled Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582 | |
Collin Daniel Smith, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 740-407-1040 Fax: 919-735-0582 | |
Samuel P Davis Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582 |