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DONETTA WALLACE, P.A.-C
P.A.-C
Physician Assistant
NPI: 1417958828IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
PA544(KY)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA544(KY)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1999
Contact & Hours
- Address
- 336 N MAYO TRL
PAINTSVILLE, KY 41240 - Phone
- (606) 789-8666
Quick Facts
- NPI
- 1417958828
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 27
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