person
Mrs. Michelle Deanna Wall, PA-C
Medical Physician Assistant in Mount Airy, North Carolina
NPI 1619195302

Michelle Deanna Wall is a Medical Physician Assistant based in Mount Airy, NC and is specialized in Medical. Michelle Deanna Wall practices in Mount Airy, NC and has the professional credentials of PA-C. The NPI Number for Michelle Deanna Wall is 1619195302 and holds a License No. 103078 (North Carolina).

The current practice location address for Michelle Deanna Wall is 348 N South St, Mount Airy, NC and can be reached out via phone at 336-786-6945 and via fax at 336-789-5782.

Location: 348 N South St, Mount Airy, NC, 27030-3532
person
Provider Profile Details
NPI Number
1619195302
Provider Name
Michelle Deanna Wall
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
348 N South St, Mount Airy, NC, 27030-3532
Phone Number
336-786-6945
Fax Number
336-789-5782
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2291842C 01 NC MEDICARE GROUP/ORGANIZATION PTAN
2759201 01 NC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
348 N South St
City
State
Zip
27030-3532
Phone Number
336-786-6945
Fax Number
336-789-5782
person
Provider Business Mailing Address Details
Address
348 N South St
City
State
Zip
27030-3532
Phone Number
336-786-6945
Fax Number
336-789-5782
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
103078 (North Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.