Individual
DR. CARLEY COLE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
901 GARFIELD ST, TUPELO, MS 38801-5737
(662) 844-6464
Mailing address
187 HARVESTERS SQ, TUPELO, MS 38801-9511
(662) 231-4049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4298-22
MS
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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