Freda Ellen Wall, PA-C

NPI #1063417608 in Atlanta, Georgia

Provider Information

NPI Number
1063417608
Entity Type
Individual
Name
Freda Ellen Wall, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Jun 20, 2005
Last Updated
Oct 22, 2007

Practice Location

Address
2001 PEACHTREE RD NE
Address 2
STE 645
State
Georgia
ZIP Code
30309-1476
Phone
(404) 350-0106

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - SurgicalSurgical

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