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DR. WALLACE A AJAKAIYE M.D

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1235421769

Individual Registrant:
DR. WALLACE A AJAKAIYE M.D
Gender: M
Sole Proprietor

Location and contact information for practice:
1014 W FRANKLIN ST  SYLVESTER, GA 31791-1978 US
Tel: 229-776-2965  Fax: --

Contact information for business:
1014 W FRANKLIN ST  SYLVESTER, GA 31791-1978 US
Tel: 229-776-2965  Fax: --

Registration Information:
NPI: 1235421769
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA72271

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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