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NPI Verification

National Provider Identifier: 1235421769

Wallace a Ajakaiye, M.d

Individual Provider

Credentials

M.D

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1014 W FRANKLIN ST

SYLVESTER, GA 317911978

Phone: 229-776-2965

NPI Enumeration Date

May 3, 2011

NPI Number

1235421769

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry