CARRIE P. WALLS

MEMPHIS, TN
NPI1275919581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  2833)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2015-08-10
Last Update Date2015-09-23
Business Address
-- CARRIE P. WALLS PA
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-545-8090
Mailing Address
-- CARRIE P. WALLS PA
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number: 901-545-7302
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