Wallace Edwin Wilson in Cumming - Physician Assistant
Wallace Edwin Wilson - NPI 1841279411
Wallace Edwin Wilson is a Physician Assistant in Cumming, Georgia. Wallace Edwin Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wallace Edwin Wilson is 1841279411. The last update date is 2022-06-06.
Wallace Edwin Wilson's current location address is 410 Peachtree Pkwy Ste 300, Cumming, Georgia. You can contact this provider via phone number 4042551933 and fax number 4047852822. The mailing address for Wallace Edwin Wilson is 410 Peachtree Pkwy Ste 300, Cumming, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Edwin Wilson |
|---|---|
| Address | 410 Peachtree Pkwy Ste 300, Cumming, Georgia |
| Phone Number | 4042551933 |
| Fax Number | 4047852822 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1841279411 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2022-06-06 |
Provider Mailing Address Detail
| Address | 410 Peachtree Pkwy Ste 300 |
|---|---|
| City | Cumming |
| State | Georgia (GA) |
| Post Code | 300417407 |
| Phone Number | 4042551933 |
| Fax Number | 4047852822 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4053 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to Wallace Edwin Wilson?
The Wallace Edwin Wilson has been issued the NPI (National Provider Identifier) 1841279411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Wallace Edwin Wilson by the Centers for Medicare & Medicaid Services?
The Wallace Edwin Wilson has been assigned the NPI (National Provider Identifier) 1841279411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wallace Edwin Wilson?
The Wallace Edwin Wilson is situated at 410 Peachtree Pkwy Ste 300, in the city of Cumming, state of GA, with the zip code 300417407.
What is Wallace Edwin Wilson's area of expertise and its corresponding taxonomy classification?
The Wallace Edwin Wilson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the information regarding Wallace Edwin Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wallace Edwin Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-06.