LUCY-BERTHA WALLANG, PA-C
Physician Assistant
Active
Individual
NPI: 1538111539
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 004665 (GA) |
| Physician Assistant | 363A00000X | Yes | 004665 (GA) |
Frequently Asked Questions
NPI 1538111539 is the National Provider Identifier for LUCY-BERTHA WALLANG, PA-C, a Physician Assistant provider located in Snellville, GA. This NPI was enumerated on May 17, 2006.
LUCY-BERTHA WALLANG, PA-C practices at 2675 MAIN ST W, Snellville, GA 30078.
Quick Facts
- NPI
- 1538111539
- Type
- Individual
- Enumerated
- May 17, 2006
- Last Updated
- Jun 6, 2024
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