Organization · Type 2 NPI
Michael Wall, PC
Primary Care Clinic/Center · Maryville, TN
NPI number
1023727633
Active
Practice location
362 High St
Maryville, TN 37804-5835
Fax (865) 205-9475
Mailing address
PO Box 5777
Maryville, TN 37802-5777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Maryville
About NPI 1023727633
Michael Wall, PC's National Provider Identifier is 1023727633, issued on Nov 22, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Maryville, TN. The record was last updated on Nov 22, 2022.