Physician Assistant
LUCY-BERTHA WALLANG PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538111539 · enumerated 2006-05-17 · record updated 2024-06-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2675 MAIN ST W, SNELLVILLE, GA, 30078-3161 (770) 866-5147 Google Maps Apple Maps OpenStreetMap
- Mailing address 2545 ALEXA CHASE CV, DACULA, GA, 30019-7578 (770) 866-5147 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · License 58593 CA
- Physician Assistant, Medical 363AM0700X · License 026102-01 NY
- Physician Assistant, Medical 363AM0700X · License 9117305 FL
- Physician Assistant, Medical 363AM0700X · License 200001685 DC
- Physician Assistant, Medical 363AM0700X · License 124154 IA
- Physician Assistant, Medical 363AM0700X · License 1131-23 WI
- Physician Assistant, Medical 363AM0700X · License 004665 GA
- Physician Assistant 363A00000X · Primary · License 004665 GA
In this directory
Locations and evidence
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Practice location
SNELLVILLE, GA, 300783161
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.