RAY WALLACE JR., PA
Physician Assistant
Active
Individual
NPI: 1720014624
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 000935 (GA) |
Frequently Asked Questions
NPI 1720014624 is the National Provider Identifier for RAY WALLACE JR., PA, a Physician Assistant provider located in Savannah, GA. This NPI was enumerated on June 23, 2006.
RAY WALLACE JR., PA practices at 4425 PAULSEN ST, Savannah, GA 31405.
Quick Facts
- NPI
- 1720014624
- Type
- Individual
- Enumerated
- Jun 23, 2006
- Last Updated
- Feb 23, 2021
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