MR. Ryan C. Wallentine, PA-AA

NPI #1114209525 in Macon, Georgia

Provider Information

NPI Number
1114209525
Entity Type
Individual
Name
MR. Ryan C. Wallentine, PA-AA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Anesthesiologist Assistant
Credential
PA-AA
Enumeration Date
Sep 12, 2011
Last Updated
Jun 4, 2013

Practice Location

Address
380 HOSPITAL DR
Address 2
SUITE 410
City
Macon
State
Georgia
ZIP Code
31217
Phone
(478) 746-5644

Specialties & Taxonomy Codes

Specialty
Anesthesiologist Assistant

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