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Yvonne S Wallace

  • Female

Medical Specialty

Professional ID

  • NPI: 1265521827
  • PECOS ID: 3971606252
  • Enrollment ID: I20120125000183
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 1978

Location

  • Address1: 8350 Rockbridge Rd
  • Address2:
  • City: Lithonia
  • State: Georgia
  • Zip Code: 30058
  • Phone Number: (770)722-6142

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):