James Wallace, MD

NPI 1306067954 · on the registry since 2007 · sole proprietor

Practice

Address: 4143 Columbia Rd
Suite D
Martinez, GA 30907
Phone: (706) 651-1299
Fax: (706) 651-1145
Organisation at this address: Mediator Senior Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia