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Amanda Daniel Wallace, PA-C
Surgical Physician Assistant in Gainesville, Georgia
NPI 1518249838

Amanda Daniel Wallace is a Surgical Physician Assistant based in Gainesville, GA and is specialized in Surgical. Amanda Daniel Wallace practices in Gainesville, GA and has the professional credentials of PA-C. The NPI Number for Amanda Daniel Wallace is 1518249838 and holds a License No. 6247 (Georgia).

The current practice location address for Amanda Daniel Wallace is 655 Jesse Jewell Pkwy Se Ste B, Gainesville, GA and can be reached out via phone at 770-532-7092 and via fax at 770-536-0383.

Location: 655 Jesse Jewell Pkwy Se Ste B, Gainesville, GA, 30503-0658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518249838
Provider Name
Amanda Daniel Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
655 Jesse Jewell Pkwy Se Ste B, Gainesville, GA, 30503-0658
Phone Number
770-532-7092
Fax Number
770-536-0383
Provider Enumeration Date
09/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
655 Jesse Jewell Pkwy Se Ste B
City
Gainesville
State
Georgia
Zip
30501-3854
Phone Number
770-532-7092
Fax Number
770-536-0383
person
Provider Business Mailing Address Details
Address
655 Jesse Jewell Pkwy Se Ste B
City
Gainesville
State
Georgia
Zip
30501-3854
Phone Number
770-532-7092
Fax Number
770-536-0383
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
6247 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
6247 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
6247 (Georgia)
Definition
Definition to come...
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