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1487185054
WILLIAM WALLACE
MACON, GA
NPI
1487185054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: GA 86402)
Enumeration Date
2017-03-24
Last Update Date
2023-01-30
Business Address
WILLIAM WALLACE MD
777 HEMLOCK ST
MACON, GA 31201
Phone number: 478-633-1000
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Mailing Address
WILLIAM WALLACE MD
777 HEMLOCK STREET
MACON, GA 31201
Phone number: 478-633-1891
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