License holder summary

WALLACE, TRACEY CLOVIS, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WALLACE, TRACEY CLOVIS, MD is 1121 JOHNSONFERRY RD #100, Marietta 30068. This doctor license is current. The license was granted 08/08/1996 and expired on 01/31/2017.

Georgia

Composite Medical Board

WALLACE, TRACEY CLOVIS, MD
Medical - Physician
License number
042483
Date granted
08/08/1996
Date expires
01/31/2017
Class
Medical - Physician
Status
Active
Address
1121 JOHNSONFERRY RD #100
georgiadoctors.net
ID 38090384
LAST UPDATED 2024-04-20 00:04:14 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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