person
Jack G Wall, MD
Diagnostic Radiology Physician in Burlington, North Carolina
NPI 1902869068

Jack G Wall is a Diagnostic Radiology Physician based in Knoxville, NC and is specialized in Diagnostic Radiology. Jack G Wall practices in Burlington, NC and has the professional credentials of MD. The NPI Number for Jack G Wall is 1902869068 and holds a License No. 16037 (North Carolina).

The current practice location address for Jack G Wall is 1240 Huffman Mill Rd, Burlington, NC and can be reached out via phone at 336-538-7000 and via fax at 336-538-7547. You can also correspond with Jack G Wall through the mailing address at PO BOX 11546, KNOXVILLE, TN - 37939-1546 (mailing address contact number: 336-538-7000).

Location: 1240 Huffman Mill Rd, Burlington, NC, 37939-1546
person
Provider Profile Details
NPI Number
1902869068
Provider Name
Jack G Wall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1240 Huffman Mill Rd, Burlington, NC, 37939-1546
Phone Number
336-538-7000
Fax Number
336-538-7547
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85385 01 NC BCBS
8985385 05 NC
institution
Provider Business Practice Location Address Details
Address
1240 Huffman Mill Rd
City
State
Zip
27215-8700
Phone Number
336-538-7000
Fax Number
336-538-7547
person
Provider Business Mailing Address Details
Address
Po Box 11546
City
State
Zip
37939-1546
Phone Number
336-538-7000
Fax Number
336-538-7547
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
16037 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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