Individual
ANNA CHRISTIAN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
114 WANDERING OAKS LN, HATTIESBURG, MS 39401-8768
(601) 606-1511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904721
MS
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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