National Provider Identifier Database

MICHELLE WALLACE, M.D. – NPI #1316111719
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

MICHELLE WALLACE, M.D.
202 VILLAGE CENTER PKWY
STOCKBRIDGE, GA30281-9044
Phone: 404-256-2593
Fax: 770-488-9408
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MICHELLE WALLACE

NPI Number 1316111719
Credentials M.D.
Entity Individual
Enumeration date 04/16/2008
Last updated 04/30/2026 - About a month ago
Sole proprietor1 No
Identifiers
  • GA License #: 064090
  • NC License #: 141727
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MICHELLE WALLACE, M.D.

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