James Jefferson Wallace III, MD

NPI #1306067954 in Martinez, Georgia

Provider Information

NPI Number
1306067954
Entity Type
Individual
Name
James Jefferson Wallace III, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
MD
Enumeration Date
May 1, 2007
Last Updated
Jun 12, 2024

Practice Location

Address
4143 COLUMBIA RD
Address 2
SUITE D
State
Georgia
ZIP Code
30907
Phone
(706) 651-1299

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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