Jamie F Wallace
Jamie F Wallace is a Pediatrics Physician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
735 Glynn St SFayetteville, GA 30214-2049
Phone: (770) 461-4126
Fax: (770) 461-8852
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 043044 (GA) |
|---|
Record details
| NPI number | 1205883147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 735 Glynn St S, Fayetteville, GA 30214-2049 |
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John M Potts, MD
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Privia Pediatric Medical Group of Georgia LLC
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Danita A. Stewart, MD
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