| Randy Wall, PA | |
|
651 Dunlop Ln, Clarksville, TN 37040-5015 | |
| (931) 502-1370 | |
| (615) 269-0135 |
| Full Name | Randy Wall |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 651 Dunlop Ln, Clarksville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588760391 | NPI | - | NPPES |
| P00367293 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 446 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Wall, PA 2020 21st Ave S, Suite 201, Nashville, TN 37212-4354 Ph: (615) 269-0652 | Randy Wall, PA 651 Dunlop Ln, Clarksville, TN 37040-5015 Ph: (931) 502-1370 |
Mr. Ronald Allen Carden, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2320 Wilma Rudolph Blvd., Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842 | |
Mrs. Jenny Lee Robinson, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 980 Professional Park Dr, Suite A, Clarksville, TN 37040 Phone: 931-905-1001 Fax: 931-905-0410 | |
Inessa Pavlovna Brooks, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 980 Professional Park Dr, Suite A, Clarksville, TN 37040 Phone: 931-905-1001 Fax: 931-905-0410 | |
Amanda Maria Bahnam, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040 Phone: 931-502-3810 Fax: 931-502-2512 | |
Mr. Ronald Kerry Brawley, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1771 Madison St, Suite 210, Clarksville, TN 37043 Phone: 931-551-1507 Fax: 931-551-1505 | |
Destinee Briana Fowler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042 Phone: 615-553-5000 Fax: 615-758-3875 | |
Niti Patel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 274 Clear Sky Ct, Clarksville, TN 37043 Phone: 601-808-0051 |