RENEE V. WALL

WILMINGTON, NC
NPI1629139670
Former NameRENEE V. HARZEWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-04392)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  PA18633)
363A00000X Physician Assistant
(Licence: WA  PA60150098)
Enumeration Date2006-12-13
Last Update Date2013-09-30
Business Address
RENEE V. WALL PA-C
3787 SHIPYARD BLVD
WILMINGTON, NC 28403-6148
Phone number: 910-332-3800
Mailing Address
RENEE V. WALL PA-C
2716 ASHTON DR
WILMINGTON, NC 28412-2489
Phone number: 910-332-3800