Jacqueline M Wallace, PHYSICIAN
Jacqueline M Wallace, PHYSICIAN is an Obstetrics & Gynecology Physician in Columbia, Maryland. Licensed in Maryland and Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- MD, PA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
10910 Little Patuxent Pkwy Ste 100Columbia, MD 21044-3078
Phone: (410) 997-8444
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Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence D0069282 (MD) |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence MD059921L (PA) |
Record details
| NPI number | 1912945155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIAN |
| Sole proprietor | No |
| NPI enumerated | June 2, 2006 |
| Last updated in NPPES | June 22, 2010 |
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Gwendolyn M Yates, MD
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