Nicole Wallace
Nicole Wallace is a Student in an Organized Health Care Education/Training Program in Buford, Georgia. Licensed in Georgia. Registered with an NPI since 2026.
- Licensed in
- GA
- In the registry since
- 2026
Practice location Address checks out
1865 Brickton StaBuford, GA 30518-6029
Phone: (770) 625-0893
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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 (GA) |
|---|
Record details
| NPI number | 1659224194 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 16, 2026 |
| Last updated in NPPES | February 16, 2026 |
| Certification date | February 16, 2026 |
| Mailing address | 1865 Brickton Sta, Buford, GA 30518-6029 |
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