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Individual

SHELLEY WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
312 21ST AVE N, NASHVILLE, TN 37236-0001
(615) 321-7330
Mailing address
1009 PHEASANT CT, KINGSTON SPRINGS, TN 37082-5240
(615) 948-3492

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
08/05/2008
Last updated
08/05/2008
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