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Jamie Wallace
NPI 1205883147 · on the registry since 2006
Practice
- Address
- 735 Glynn St S
Fayetteville, GA 30214 - Phone
- (770) 461-4126
- Fax
- (770) 461-8852
- Organisation at this address
- Abc Pediatrics
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia