| Wm.henry Wall | |
|
5139 Jimmy Carter Blvd Ste 201 Norcross GA 30093-1638 | |
| (770) 448-0966 | |
| (770) 448-8549 |
| Full Name | Wm.henry Wall |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5139 Jimmy Carter Blvd Ste 201, Norcross, Georgia |
| Authorized Official Name and Position | William H. Wall (DENTIST) |
| Authorized Official Contact | 7704480966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wm.henry Wall 5139 Jimmy Carter Blvd Ste 201 Norcross GA 30093-1638 Ph: (770) 448-0966 | Wm.henry Wall 5139 Jimmy Carter Blvd Ste 201 Norcross GA 30093-1638 Ph: (770) 448-0966 |
| NPI Number | 1215108220 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215108220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN006817 (Georgia) | Primary |
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