WALLACE EDWIN WILSON

CUMMING, GA
NPI1841279411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  4053)
Enumeration Date2006-01-12
Last Update Date2022-06-06
Business Address
WALLACE EDWIN WILSON PA-C
410 PEACHTREE PKWY STE 300
CUMMING, GA 30041-7407
Phone number: 404-255-1933
Mailing Address
WALLACE EDWIN WILSON PA-C
410 PEACHTREE PKWY STE 300
CUMMING, GA 30041-7407
Phone number: 404-255-1933
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