Bc Wall Medical Group PA
NPI #1164610580 in Gastonia, North Carolina
Provider Information
- NPI Number
- 1164610580
- Entity Type
- Organization
- Organization Name
- Bc Wall Medical Group PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 10, 2007
- Last Updated
- Oct 10, 2007
Practice Location
- Address
- 1574 UNION ROAD
- Address 2
- A
- City
- Gastonia
- State
- North Carolina
- ZIP Code
- 28054-5633
- Phone
- (704) 866-4607
Authorized Official
- Name
- DR. BRIAN K WALL, M. D.
- Title
- PRESIDENT
- Phone
- (704) 866-4607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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