Grant Wallace
Grant Wallace is a Registered Nurse in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2026
Practice location Address checks out
1520 Clifton Rd NE Ste 244Atlanta, GA 30322-4201
Phone: (404) 727-7980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence RN319027 (GA) |
|---|
Record details
| NPI number | 1336006642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2026 |
| Last updated in NPPES | January 7, 2026 |
| Certification date | January 7, 2026 |
| Mailing address | 72 Walthall St Se Unit B, Atlanta, GA 30316-1328 |
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