JAMIE F WALLACE

FAYETTEVILLE, GA
NPI1205883147
Former NameJAMIE M FLANDERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  043044)
Enumeration Date2006-05-27
Last Update Date2007-07-08
Business Address
-- JAMIE F WALLACE
735 GLYNN ST S
FAYETTEVILLE, GA 30214-2049
Phone number: 770-461-4126
Mailing Address
-- JAMIE F WALLACE
735 GLYNN ST S
FAYETTEVILLE, GA 30214-2049
Phone number: 770-461-4126
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