Individual
MR. ADAM WALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
2101 SPRING DR, GARNER, NC 27529-3423
(919) 662-2379
Mailing address
220 NAPLES LN, CLAYTON, NC 27527-9305
(919) 943-1407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NC
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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