Michael Wall, PC

NPI #1023727633 in Maryville, Tennessee

Provider Information

NPI Number
1023727633
Entity Type
Organization
Organization Name
Michael Wall, PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 22, 2022
Last Updated
Nov 22, 2022

Practice Location

Address
362 HIGH ST
ZIP Code
37804-5835
Phone
(865) 413-1589

Authorized Official

Name
MICHAEL WALL, PA
Title
OWNER
Phone
(865) 995-4643

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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