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1275820235
MALISSA WALL
DECATUR, GA
NPI
1275820235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 072720)
Enumeration Date
2011-06-28
Last Update Date
2015-05-27
Business Address
Dr. MALISSA WALL D.O.
1438 MCLENDON DR
DECATUR, GA 30033-1802
Phone number: 770-414-0337
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Mailing Address
Dr. MALISSA WALL D.O.
1438 MCLENDON DR
DECATUR, GA 30033-1802
Phone number: 770-414-0337
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