Dr. William H. Wall
Oral and Maxillofacial Pathology
5139 Jimmy Carter Blvd Ste 201
Norcross
, Georgia 30093-1638
Dr. William H. Wall
Oral and Maxillofacial Pathology
5139 Jimmy Carter Blvd Ste 201
Norcross
, Georgia 30093-1638
(770) 448-8549
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. William H. Wall
- 5139 Jimmy Carter Blvd Ste 201
- Norcross, GA
- Zip : 30093-1638
- Fax : (770) 448-8549
- Phone : (770) 448-0966
Second Address
- Dr. William H. Wall
- 5139 Jimmy Carter Blvd Ste 201
- Norcross, GA
- Zip : 30093-1638
- Fax : (770) 448-8549
- Phone : (770) 448-0966
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 6817 | GA |
National Provider Identifier
| NPI | 1891880720 |
|---|---|
| Provider Name | Dr. William H. Wall |
| First Address | Norcross, GA 30093-1638 |
| Second Address | Norcross, GA 30093-1638 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 09/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.