Jamie F Wallace, in Fayetteville, GA - Pediatrics

Jamie F Wallace, is a Pediatrics physician based in Fayetteville, Georgia. Jamie F Wallace is licensed to practice in Georgia (license number 043044) and her current practice location is 735 Glynn St S, Fayetteville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 461-4126.

NPI number for Jamie F Wallace is 1205883147 and her current mailing address is 735 Glynn St S, Fayetteville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205883147.

Contact Information

	Jamie F Wallace,
	735 Glynn St S, Fayetteville, GA 30214-2049
	(770) 461-4126
	(770) 461-8852

Physician's Profile

Full Name	Jamie F Wallace
Gender	Female
Speciality	Pediatrics
Location	735 Glynn St S, Fayetteville, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1205883147
Provider Enumeration Date: 05/27/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jamie F Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205883147	NPI	-	NPPES
00794483A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	043044 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamie F Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jamie F Wallace, 735 Glynn St S, Fayetteville, GA 30214-2049 Ph: (770) 461-4126	Jamie F Wallace, 735 Glynn St S, Fayetteville, GA 30214-2049 Ph: (770) 461-4126

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Pediatrics Doctors in Fayetteville, GA

Danita A. Stewart, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 288 Highway 314, Suite A, Fayetteville, GA 30214 Phone: 770-460-2131 Fax: 770-460-5011
Sara H. Goza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Yorktown Drive, Suite 200, Fayetteville, GA 30214 Phone: 770-460-4281 Fax: 770-460-4002
Valarie Wright Manley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Beckett Ln Ste 502, Fayetteville, GA 30214 Phone: 678-817-1000 Fax: 678-817-1001
Karen L. Chaplin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 288 Highway 314, Suite A, Fayetteville, GA 30214 Phone: 770-460-2131 Fax: 770-460-5011
Eric W Hoffler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn St S, Fayetteville, GA 30214 Phone: 770-461-4126 Fax: 770-461-8852
Christiana Muntzel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Yorktown Drive, Suite 200, Fayetteville, GA 30214 Phone: 770-460-4281 Fax: 770-460-4002

Jamie F Wallace, - Pediatrics in Fayetteville, GA