MRS. AMANDA DANIEL WALLACE, PA-C
Physician Assistant at Jesse Jewell Pkwy, Gainesville, GA

License number
Georgia 2163
Category
Nursing
Type
Physician Assistant
License number
Georgia 006247
Category
Nursing
Type
Physician Assistant
Address
Address
655 Jesse Jewell Pkwy SE, Gainesville, GA 30501
Phone
(770) 532-7092
(770) 536-0383 (Fax)
(770) 718-1122
(770) 535-7445 (Fax)
National Provider ID: 1518249838
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Amanda Wallace, age 38
580 Josiah Morgan Rd, Clyo, GA 31303
(912) 754-4334
Amanda Wallace, age 40
315 Lilly Creek Rd, Fort Valley, GA 31030
(478) 825-1426
Amanda Wallace, age 55
301 Russell Rd, Thomasville, GA 31757
(229) 226-3039

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