Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ansley Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205666369

Ansley Wallace is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1199 Prince Ave
Athens, GA 30606-2797
Phone: (706) 475-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205666369
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address112 Rose Creek Rd, Eatonton, GA 31024-7239

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