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Organization

JOHN WALLI NPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WALLI (NP-C)
(228) 860-5164
Entity
Organization

Contact information

Practice address
2781 C T SWITZER SR DR, BILOXI, MS 39531-4536
(228) 594-2900
Mailing address
16443 DELIA DR, BILOXI, MS 39532-9411

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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