Mrs Marilyn G Wallace, LPN in Goldsboro, NC - Otolaryngology

Mrs Marilyn G Wallace, LPN is a Otolaryngology physician based in Goldsboro, North Carolina. Mrs Marilyn G Wallace is licensed to practice in North Carolina (license number 33514) and her current practice location is 2707 Medical Office Pl, Goldsboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at (919) 735-9146.

NPI number for Mrs Marilyn G Wallace is 1306256201 and her current mailing address is 2707 Medical Office Pl, Goldsboro, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306256201.

Contact Information

	Mrs Marilyn G Wallace, LPN
	2707 Medical Office Pl, Goldsboro, NC 27534-9458
	(919) 735-9146
	(919) 735-0582

Physician's Profile

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.

NPI Data:

NPI Number: 1306256201
Provider Enumeration Date: 04/30/2014
Last Update Date: 04/30/2014

Medical Identifiers

Medical identifiers for Mrs Marilyn G Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306256201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	33514 (North Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Marilyn G Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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Otolaryngology Doctors in Goldsboro, NC

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
Dr. Daniel Whitley Jr., M.D., F.A.C.S. 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

Mrs Marilyn G Wallace, LPN - Otolaryngology in Goldsboro, NC