ANTHONY WALL

ATHENS, GA
NPI1740327139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  R045285)
Enumeration Date2007-02-01
Last Update Date2018-02-05
Business Address
Mr. ANTHONY WALL N.P.
740 PRINCE AVE
ATHENS, GA 30606-5908
Phone number: 706-548-0008
Mailing Address
Mr. ANTHONY WALL N.P.
340 N MILLEDGE AVE STE B
ATHENS, GA 30601-3806
Phone number: 706-548-0008
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ATHENS IMMEDIATE CARE #1, LLC