SearchGeorgiaPhysician Assistant

Wallace Wilson, PA-C

NPI 1841279411 · on the registry since 2006

Practice

Address
410 Peachtree Pkwy Ste 300
Cumming, GA 30041
Phone
(404) 255-1933
Fax
(404) 785-2822
Organisation at this address
Serencare
Dental Town, Llc
Warby Parker Inc.
Georgia Plus, Llc
Futures Aba Ga Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-06

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