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Mr. Trevor J Wallace, PA-C
Physician Assistant in Marietta, Georgia
NPI 1396281200

Trevor J Wallace is a Physician Assistant based in Marietta, GA. Trevor J Wallace practices in Marietta, GA and has the professional credentials of PA-C. The NPI Number for Trevor J Wallace is 1396281200 and holds a License No. 8236 (Georgia).

The current practice location address for Trevor J Wallace is 61 Whitcher St Ne, Marietta, GA and can be reached out via phone at 770-422-3290 and via fax at 770-422-0287.

Location: 61 Whitcher St Ne, Marietta, GA, 30060-1176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396281200
Provider Name
Trevor J Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
61 Whitcher St Ne, Marietta, GA, 30060-1176
Phone Number
770-422-3290
Fax Number
770-422-0287
Provider Enumeration Date
01/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003185899A 05 GA
003185899C 05 GA
003185899B 05 GA
institution
Provider Business Practice Location Address Details
Address
61 Whitcher St Ne
City
Marietta
State
Georgia
Zip
30060-1176
Phone Number
770-422-3290
Fax Number
770-422-0287
person
Provider Business Mailing Address Details
Address
61 Whitcher St Ne
City
Marietta
State
Georgia
Zip
30060-1176
Phone Number
770-422-3290
Fax Number
770-422-0287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
8236 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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