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1538241815
ELLIS J WALLACE
FORT STEWART, GA
NPI
1538241815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: GA 002533)
Enumeration Date
2006-10-19
Last Update Date
2011-03-10
Business Address
ELLIS J WALLACE PA-C
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
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Mailing Address
ELLIS J WALLACE PA-C
1061 HARMON AVE STE 1 D03
FORT STEWART, GA 31315
Phone number: 912-435-6633
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