Individual
DR. MALISSA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1438 MCLENDON DR, DECATUR, GA 30033-1802
(770) 414-0337
(855) 294-1992
Mailing address
1438 MCLENDON DR, DECATUR, GA 30033-1802
(770) 414-0337
(855) 294-1992
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
072720
GA
Other
Enumeration date
06/28/2011
Last updated
05/27/2015
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