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Esther Wimlen Wallach

Internal Medicine

Allopathic & Osteopathic Physicians

1270 Prince Ave Ste 201, Athens, GA 30606-2789

PECOS Enrollment

This provider is enrolled in PECOS as ESTHER WALLACH.

Based on the most recent information from CMS, provider Esther Wimlen Wallach is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1275988198
Provider Type
Individual
Full Name
Wallach, Esther Wimlen
Title
Mrs.
Credential
M.D., M.SC.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/28/2016
Last Updated
7/2/2019

Contact Information

Practice Location

1270 Prince Ave Ste 201, Athens, GA 30606-2789

(706) 475-7055

Unlisted Fax

Mailing Location

2727 Paces Ferry Rd SE Ste 1-1100, Atlanta, GA 30339-6151

(470) 270-3418

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 83243 Georgia

Esther Wimlen Wallach

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Al Anbari, Raghda

Johnson, Elizabeth L

Baosman, Abdullah A

Cook, Meghan B

Athens Regional Physician Services

Townsend, David L

St. Mary'S Medical Group, Inc.

Piedmont Athens Regional Medical Center, Inc

G. Steven Chesser Md Pc

Phanthok, Tenzing