Individual provider · Type 1 NPI
Richard Alan Wall Ii
Nurse Practitioner · Macon, GA
Practice location
350 Hospital Dr Ste 230
Macon, GA 31217-3838
Mailing address
199 Tidwell Rd
Bonaire, GA 31005-4172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN314437 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1134093099
Richard Alan Wall Ii's National Provider Identifier is 1134093099, issued on Oct 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Macon, GA. The record was last updated on Oct 2, 2025.