Renee V. Wall PA-C

NPI 1629139670 - Physician Assistant - 363A00000X

NPI Details
NPI 1629139670
Gender Female
Enumeration Date 12/13/2006
Last Updated 09/30/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
WILMINGTON NC, 28403-6148, US
Phone (910) 332-3800
Fax (910) 251-0421
Business Location
WILMINGTON NC, 28412-2489, US
Phone (910) 332-3800
Fax (910) 251-0421
Taxonomy Code 363A00000X
License State Washington
License Number PA60150098
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According to our database, Renee V. Wall PA-C NPI is 1629139670, taxonomy code is 363A00000X and license number is PA60150098, license state is located at Washington. Renee V. Wall PA-C physically located at 3787 Shipyard Blvd, Wilmington NC, 28403-6148. NPI Number Renee V. Wall PA-C has the Individual type.

1629139670 NPI number is provided on an as is basis without warranty of any kind. 1629139670 is maintained by the National Plan & Provider Enumeration System. The contents of Renee V. Wall PA-C are for informational purposes only.