ROSCOE CARL WALLS

BAXLEY, GA
NPI1376231597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN253514)
Enumeration Date2023-04-26
Last Update Date2024-11-15
Business Address
Mr. ROSCOE CARL WALLS FNP-BC
118 AZALEA RD ST 1
BAXLEY, GA 31513-7598
Phone number: 912-785-2676
Mailing Address
Mr. ROSCOE CARL WALLS FNP-BC
625 DEERFIELD DR
BAXLEY, GA 31513-7598
Phone number: 912-309-2233
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