Individual
DR. RALPH LANE WALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 ALLEN STREET, MONTGOMERY MEMORIAL HOSPITAL, TROY, NC 27371
(910) 571-5360
Mailing address
6960 HARPER VIEW CT, CLEMMONS, NC 27012-9633
(336) 766-9108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985405
—
NC
Enumeration date
06/08/2006
Last updated
09/11/2009
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