Laura J Wallace, CNM - Advanced Practice Midwife in Stockbridge, GA

Laura J Wallace, CNM is a Advanced Practice Midwife based in Stockbridge, Georgia. Laura J Wallace is licensed to practice in Georgia (license number RN067198) and her current practice location is 115 Eagle Spring Dr Ste A200, Stockbridge, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 474-0064.

NPI number for Laura J Wallace is 1679047005 and her current mailing address is 115 Eagle Spring Dr Ste A200, Stockbridge, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679047005.

Contact Information

Laura J Wallace, CNM
115 Eagle Spring Dr Ste A200,
Stockbridge, GA 30281-6486
(770) 474-0064
(770) 474-2998



Provider's Profile

Full NameLaura J Wallace
GenderFemale
SpecialityAdvanced Practice Midwife
Location115 Eagle Spring Dr Ste A200, Stockbridge, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679047005
  • Provider Enumeration Date: 01/18/2019
  • Last Update Date: 01/18/2019

Medical Identifiers

Medical identifiers for Laura J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679047005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife RN067198 (Georgia)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. Laura J 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 AddressPractice Location Address
Laura J Wallace, CNM
115 Eagle Spring Dr Ste A200,
Stockbridge, GA 30281-6486

Ph: (770) 474-0064
Laura J Wallace, CNM
115 Eagle Spring Dr Ste A200,
Stockbridge, GA 30281-6486

Ph: (770) 474-0064

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Advanced Practice Midwife Nurses in Stockbridge, GA

Helen M Bailey,
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 150 Eagle Spring Ct, Suite B, Stockbridge, GA 30281
Phone: 770-506-1390    Fax: 770-506-1414
Marcia Harmon, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 140 Eagle Spring Ct, Ste B, Stockbridge, GA 30281
Phone: 678-413-4644    Fax: 678-413-4624
April M Witzel, MSN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 150 Eagle Spring Ct Ste 105b, Stockbridge, GA 30281
Phone: 678-604-4000    

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