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Lucy-bertha Wallang, PA-C
Physician Assistant in Snellville, Georgia
NPI 1538111539

Lucy-bertha Wallang is a Physician Assistant based in Dacula, GA. Lucy-bertha Wallang practices in Snellville, GA and has the professional credentials of PA-C. The NPI Number for Lucy-bertha Wallang is 1538111539 and holds a License No. 58593 (Georgia).

The current practice location address for Lucy-bertha Wallang is 2675 Main St W, Snellville, GA and can be reached out via phone at 770-866-5147.

Location: 2675 Main St W, Snellville, GA, 30019-7578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538111539
Provider Name
Lucy-bertha Wallang
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2675 Main St W, Snellville, GA, 30019-7578
Phone Number
770-866-5147
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
723874491A 05 GA
11143 01 GA BLUE CROSS BLUE SHIELD
723874491B 05 GA
01076922 01 GA AMERIGROUP
333656 01 GA WELLCARE
723874491 05 GA
institution
Provider Business Practice Location Address Details
Address
2675 Main St W
City
Snellville
State
Georgia
Zip
30078-3161
Phone Number
770-866-5147
Fax Number
person
Provider Business Mailing Address Details
Address
2675 Main St W
City
Snellville
State
Georgia
Zip
30078-3161
Phone Number
770-866-5147
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
026102-01 (New York)
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.
58593 (California)
Definition
Definition to come...
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