MICHAEL ANDREW WALL

CLINTON, NC
NPI1407244007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-05421)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- MICHAEL ANDREW WALL PA-C
1515 SUNSET AVE
CLINTON, NC 28328-3827
Phone number: 910-592-4000
Mailing Address
-- MICHAEL ANDREW WALL PA-C
308 DOLPHIN DR
JACKSONVILLE, NC 28546-5266
Phone number: 910-346-2273