JAMES JEFFERSON WALLACE

MARTINEZ, GA
NPI1306067954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA  024369)
Enumeration Date2007-05-01
Last Update Date2024-06-12
Business Address
JAMES JEFFERSON WALLACE MD
4143 COLUMBIA RD SUITE D
MARTINEZ, GA 30907
Phone number: 706-651-1299
Mailing Address
JAMES JEFFERSON WALLACE MD
4143 COLUMBIA RD SUITE D
MARTINEZ, GA 30907
Phone number: 706-651-1299