MRS. Kelly White Wall, FNP-C

NPI #1194290338 in Vidalia, Georgia

Provider Information

NPI Number
1194290338
Entity Type
Individual
Name
MRS. Kelly White Wall, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-C
Enumeration Date
Oct 3, 2018
Last Updated
Oct 3, 2018

Practice Location

Address
414 LUGENIA DR
State
Georgia
ZIP Code
30474-7210
Phone
(912) 537-9355

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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