KELLY WHITE WALL

VIDALIA, GA
NPI1194290338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN170495)
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
Mrs. KELLY WHITE WALL FNP-C
414 LUGENIA DR
VIDALIA, GA 30474-7210
Phone number: 912-537-9355
Mailing Address
Mrs. KELLY WHITE WALL FNP-C
PO BOX 1416
VIDALIA, GA 30475-1416
Phone number: 706-833-6848
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