Jamie F Wallace in Fayetteville - Pediatrics
Jamie F Wallace - NPI 1205883147
Jamie F Wallace is a Pediatrics in Fayetteville, Georgia. Jamie F Wallace practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jamie F Wallace is 1205883147. The last update date is 2007-07-08.
Jamie F Wallace's current location address is 735 Glynn St S, Fayetteville, Georgia. You can contact this provider via phone number 7704614126 and fax number 7704618852. The mailing address for Jamie F Wallace is 735 Glynn St S, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie F Wallace |
|---|---|
| Address | 735 Glynn St S, Fayetteville, Georgia |
| Phone Number | 7704614126 |
| Fax Number | 7704618852 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205883147 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 735 Glynn St S |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302142049 |
| Phone Number | 7704614126 |
| Fax Number | 7704618852 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 43044 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00794483A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jamie F Wallace?
The Jamie F Wallace has been issued the NPI (National Provider Identifier) 1205883147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jamie F Wallace is located?
The Jamie F Wallace is situated at the following address: 735 Glynn St S, Fayetteville, GA, 302142049.
What is the Jamie F Wallace's area of specialization and corresponding taxonomy classification?
The Jamie F Wallace's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1205883147 to Jamie F Wallace?
The Centers for Medicare & Medicaid Services assigned the 1205883147 to Jamie F Wallace on 2006-05-27.
When was the information related to Jamie F Wallace most recently updated or refreshed?
The details pertaining to the Jamie F Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.