RANDY WALL

CLARKSVILLE, TN
NPI1588760391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  446)
Enumeration Date2006-09-16
Last Update Date2011-08-04
Business Address
-- RANDY WALL PA
651 DUNLOP LN
CLARKSVILLE, TN 37040-5015
Phone number: 931-502-1370
Mailing Address
-- RANDY WALL PA
2020 21ST AVE S SUITE 201
NASHVILLE, TN 37212-4354
Phone number: 615-269-0652
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