Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCY-BERTHA WALLANG, PA-C
ActiveLUCY-BERTHA WALLANG, PA-C is a Physician Assistant healthcare provider located in SNELLVILLE, Georgia. NPI 1538111539 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SNELLVILLE, GA
Registration Details
- NPI Number
- 1538111539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2006 (20.216481510525 yrs)
- Last Updated
- Jun 6, 2024
- Licenses
-
58593 (CA)026102-01 (NY)9117305 (FL)200001685 (DC)124154 (IA)
Practice Information
- Address
-
2675 MAIN ST WSNELLVILLE, GA, 300783161Browse GA providers · Browse ZIP 30078
- Phone
- 7708665147
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in SNELLVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| ANGELA JONES | P.A. | 1790777217 |
| JENNIFER B. SISSOM | PA | 1063488708 |
| DAVID NEIL BRONAUGH | P.A.C. | 1447358254 |
| AMBRE JAMARRA FOUGEROUSSE | PA-C | 1700022613 |
| COURTNEY R DAVIS | PA-C | 1952535163 |
| LINDSEY MICHELLE BROWN | PA-C | 1497091326 |
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.