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.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00560436K | 05 | GA |
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