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Edit this profileJacob Wallis is a physician assistant practicing in Fayetteville, GA. This provider record is associated with NPI 1568118172.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
104 N PARK DR
Fayetteville, GA 30214
60 John C Breckenridge Cv
Adamsville, TN 38310
6515 Poplar Ave Ste 106
Memphis, TN 38119
Jacob Wallis is a physician assistant in Fayetteville, GA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Jacob Wallis is listed at 104 N Park Dr, Fayetteville, GA 30214. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (470) 944-5290. Contact the office directly to confirm availability and scheduling.
NPI registry
Jacob Wallis's National Provider Identifier is 1568118172. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Jacob Wallis attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
Jacob Wallis has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Jacob Wallis. If this is you, claiming it is free.
Guide.md
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