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Ellis J Wallace, PA-C
Medical Physician Assistant in Fort Stewart, Georgia
NPI 1538241815

Ellis J Wallace is a Medical Physician Assistant based in Fort Stewart, GA and is specialized in Medical. Ellis J Wallace practices in Fort Stewart, GA and has the professional credentials of PA-C. The NPI Number for Ellis J Wallace is 1538241815 and holds a License No. 002533 (Georgia).

The current practice location address for Ellis J Wallace is 1061 Harmon Ave, Fort Stewart, GA and can be reached out via phone at 912-435-6633 and via fax at 912-435-5379. You can also correspond with Ellis J Wallace through the mailing address at 1061 HARMON AVE, FORT STEWART, GA - 31315 (mailing address contact number: 912-435-6633).

Location: 1061 Harmon Ave, Fort Stewart, GA, 31315
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Provider Profile Details
NPI Number
1538241815
Provider Name
Ellis J Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1061 Harmon Ave, Fort Stewart, GA, 31315
Phone Number
912-435-6633
Fax Number
912-435-5379
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00560436K 05 GA
institution
Provider Business Practice Location Address Details
Address
1061 Harmon Ave
City
State
Zip
31314-5641
Phone Number
912-435-6633
Fax Number
912-435-5379
person
Provider Business Mailing Address Details
Address
1061 Harmon Ave
City
State
Zip
31314-5641
Phone Number
912-435-6633
Fax Number
912-435-5379
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002533 (Georgia)
Definition
Definition to come...
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