Individual
ALEXA ROYAL WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7688
(678) 312-4790
Mailing address
1540 HIGHWAY 82, WINDER, GA 30680-3306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN315141
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
10/01/2025
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