Individual
DR. EDWARD HUGH WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
549 S MAIN ST, CLEVELAND, GA 30528-1411
(706) 865-2248
(706) 219-2051
Mailing address
PO BOX 870, 549 SOUTH MAIN ST, CLEVELAND, GA 30528-0016
(706) 865-2248
(706) 219-2051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011027
GA
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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