Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
VANCE TIMOTHY WALL SR.
Active
Individual
VANCE TIMOTHY WALL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13303
STATE PHARMACY LICENSE
GA
01
—
4236
STATE PHARMACY LICENSE
SC
Enumeration date
12/24/2007
Last updated
12/24/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up