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1740327139
ANTHONY WALL
ATHENS, GA
NPI
1740327139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA R045285)
Enumeration Date
2007-02-01
Last Update Date
2018-02-05
Business Address
Mr. ANTHONY WALL N.P.
740 PRINCE AVE
ATHENS, GA 30606-5908
Phone number: 706-548-0008
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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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