BRIAN KEITH WALL

OXFORD, MS
NPI1326060070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: MS  20143)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NC  9701190)
Enumeration Date2006-07-24
Last Update Date2010-11-10
Business Address
-- BRIAN KEITH WALL MD
2301 S LAMAR BLVD
OXFORD, MS 38655-5373
Phone number: 662-232-8568
Mailing Address
-- BRIAN KEITH WALL MD
P.O. BOX 405827
ATLANTA, GA 30384-5827
Phone number: 870-934-5821