Individual
SCHARON M WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9676 OLD CUSSETA RD. BLDG 4202, USA DENTAL ACTIVITY, FORT BENNING, GA 31905-5645
(706) 544-3176
Mailing address
5976 WALTERS LOOP, COLUMBUS, GA 31907-5363
(762) 822-4733
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
11/18/2021
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