Ellis Wallace, PA-C
Ellis Wallace, PA-C is a medical physician assistant practicing in Fort Stewart, GA. The NPI was issued on October 19, 2006, and the record was last updated in NPPES on March 10, 2011.
This record hasn't been updated in NPPES since 2011. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 002533 (GA) |
Practice location
Local context
Active NPPES records list 36 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 20 of them within 10 miles.
The same primary taxonomy is listed by 1,323 in Georgia and 40,084 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Ellis J Wallace
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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