Mr. Wallace Maxwell Green, PAC
Mr. Wallace Maxwell Green, PAC is a Neurology Physician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
1275 Highway 54 W STE.105Fayetteville, GA 30214-4549
Phone: (770) 719-2965
Fax: (770) 719-2963
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 001827 (GA) |
|---|
Record details
| NPI number | 1306979059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1275 Highway 54 W, Ste.105, Fayetteville, GA 30214-4549 |
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Ali Ahmad, MD
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Dr. Lisa M Avery, MD
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Georgia Neurosciences LLC
1260 Highway 54 W Ste 200, Fayetteville, GA 30214-4513 · (214) 619-1910
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Krishna J Goli, MD
1255 Highway 54 W, Fayetteville, GA 30214-4526 · (404) 367-3014
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Dr. Sonal Rameshchandra Hazariwala, MD
1265 Highway 54 W Ste 500D, Fayetteville, GA 30214-4537 · (770) 506-5410
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Evan McCarroll Johnson, MD
1265 Highway 54 W Ste 500D, Fayetteville, GA 30214-4537 · (770) 506-5410
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Dr. Kenneth J Lazarus, MD, PHD
1250 Highway 54 W Ste 102, Fayetteville, GA 30214-4545 · (770) 719-2965
-
Mr. Virendra V Ranadive, MD
115 Sumner Rd Fl 2, Fayetteville, GA 30214-4758 · (770) 716-1562