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Mr. Ryan C. Wallentine, PA-AA
Anesthesiologist Assistant in Macon, Georgia
NPI 1114209525

Ryan C. Wallentine is an Anesthesiologist Assistant based in Macon, GA. Ryan C. Wallentine practices in Macon, GA and has the professional credentials of PA-AA. The NPI Number for Ryan C. Wallentine is 1114209525 and holds a License No. (Georgia).

The current practice location address for Ryan C. Wallentine is 380 Hospital Dr, Macon, GA and can be reached out via phone at 478-746-5644 and via fax at 478-745-4849.

Location: 380 Hospital Dr, Macon, GA, 31203-2564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114209525
Provider Name
Ryan C. Wallentine
Credential
PA-AA
Provider Entity Type
Individual
Gender
Male
Address
380 Hospital Dr, Macon, GA, 31203-2564
Phone Number
478-746-5644
Fax Number
478-745-4849
Provider Enumeration Date
09/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
580628385 01 GA TRICARE
P01003812 01 GA RAILROAD MEDICARE
003114063C 05 GA
003114063D 05 GA
003114063B 05 GA
003114063A 05 GA
635417 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
380 Hospital Dr
City
Macon
State
Georgia
Zip
31217
Phone Number
478-746-5644
Fax Number
478-745-4849
person
Provider Business Mailing Address Details
Address
380 Hospital Dr
City
Macon
State
Georgia
Zip
31217
Phone Number
478-746-5644
Fax Number
478-745-4849
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
(Georgia)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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