MEREDITH WALL WAGNER

MEMPHIS, TN
NPI1316380694
Former NameMEREDITH LYNN WALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036.165930)
Enumeration Date2013-04-16
Last Update Date2023-08-11
Business Address
MEREDITH WALL WAGNER M.D.
6254 POPLAR AVE
MEMPHIS, TN 38119
Phone number: 901-624-3333
Mailing Address
MEREDITH WALL WAGNER M.D.
6254 POPLAR AVE
MEMPHIS, TN 38119-4713
Phone number: 901-624-3333
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