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Search › Georgia › 207Q00000X

Wallace Ajakaiye, M.D

NPI 1235421769 · on the registry since 2011 · sole proprietor

Practice

Address
1014 W Franklin St
Sylvester, GA 31791
Phone
(229) 776-2965
Organisation at this address
Phoebe Worth Medical Center
Phoebe Worth Medical Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-03

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