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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMIE F WALLACE

Active

JAMIE F WALLACE is a Pediatrics healthcare provider located in FAYETTEVILLE, Georgia. NPI 1205883147 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FAYETTEVILLE, GA

Registration Details

NPI Number
1205883147
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2006 (20.21266244942 yrs)
Last Updated
Jul 8, 2007
License
043044 (GA)

Practice Information

Address
735 GLYNN ST S
FAYETTEVILLE, GA, 302142049
Browse GA providers · Browse ZIP 30214
Phone
7704614126
Fax
7704618852
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in FAYETTEVILLE, GA

Name Credential NPI
DANITA A. STEWART MD 1023015997
KAREN L. CHAPLIN MD 1417954371
SARA H. GOZA M.D. 1235182361
CHRISTIANA MUNTZEL M.D. 1508819582
ERIC W HOFFLER MD 1467409458
TEREASA A BALLAY MD 1932156874
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.