License holder summary

GREEN, WALLACE MAXWELL is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for GREEN, WALLACE MAXWELL is 1250 HWY 54 WEST | STE 102, Fayetteville 30214. This doctor license is current. The license was granted 04/07/1988 and expired on 02/28/2018.

Georgia

Composite Medical Board

GREEN, WALLACE MAXWELL
Medical - Physician Assistant
License number
001827
Date granted
04/07/1988
Date expires
02/28/2018
Class
Medical - Physician Assistant
Status
Active
Address
1250 HWY 54 WEST | STE 102
georgiadoctors.net
ID 38098386
LAST UPDATED 2024-04-02 10:22:57 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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