Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA DANIEL WALLACE, PA-C
ActiveAMANDA DANIEL WALLACE, PA-C is a Surgical Physician Assistant healthcare provider located in GAINESVILLE, Georgia. NPI 1518249838 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · GAINESVILLE, GA
Registration Details
- NPI Number
- 1518249838
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2011 (14.940181184916 yrs)
- Last Updated
- Sep 26, 2023
- Licenses
-
6247 (GA)6247 (GA)6247 (GA)
Practice Information
- Address
-
655 JESSE JEWELL PKWY SE STE BGAINESVILLE, GA, 305013854Browse GA providers · Browse ZIP 30501
- Phone
- 7705327092
- Fax
- 7705360383
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in GAINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. DAWN M FERRER | PA-C | 1578547832 |
| JARRETT R KIESEL | PA | 1831173418 |
| JAMES WILLIAM BECKER | PA-C | 1366417149 |
| JAMES RAYMOND LOVETT | PA-C | 1447225222 |
| CAMERON MICHAEL BERGIN | PA | 1609829274 |
| OLUWOLE ANDREW OKUNSANYA | PA | 1669485579 |
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.