NPI 1023283355

Antoinette W. Wall, M.D. PA

Organisation Preferred Provider Organization Arden, NC

Practice location

Address: 7 Glenn Bridge Rd STE D, Arden, NC 28704-3322
Phone: (828) 684-3949
Fax: (828) 684-2330

Authorised official

Name: Antoinette W. Wall
Title: President
Phone: (828) 684-3949

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 20857 (NC)

Other Preferred Provider Organization providers in North Carolina →

Registry record

NPI: 1023283355
Entity type: Organization
NPI issued: 28 Apr 2008
Record last updated: 28 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.