Individual
WESLEY PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4159 MILL ST NE, COVINGTON, GA 30014-2546
(770) 786-1234
(770) 385-0813
Mailing address
4159 MILL ST NE, COVINGTON, GA 30014-2546
(770) 786-1234
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
89328
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
08/08/2021
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