WALLACE WILSON, PA-C
Physician Assistant
Active
Individual
NPI: 1841279411
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 4053 (GA) |
Frequently Asked Questions
NPI 1841279411 is the National Provider Identifier for WALLACE WILSON, PA-C, a Physician Assistant provider located in Cumming, GA. This NPI was enumerated on January 12, 2006.
WALLACE WILSON, PA-C practices at 410 PEACHTREE PKWY STE 300, Cumming, GA 30041.
Quick Facts
- NPI
- 1841279411
- Type
- Individual
- Enumerated
- Jan 12, 2006
- Last Updated
- Jun 6, 2022
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