RAY L WALLACE

SAVANNAH, GA
NPI1720014624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  000935)
Enumeration Date2006-06-23
Last Update Date2021-02-23
Business Address
RAY L WALLACE PA
4425 PAULSEN ST
SAVANNAH, GA 31405-3662
Phone number: 912-355-6615
Mailing Address
RAY L WALLACE PA
4425 PAULSEN ST
SAVANNAH, GA 31405-3662
Phone number: 912-355-6615
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