Individual
JOSHUA WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10 BIRCHVIEW ST, TAYLORS, SC 29687-4193
(864) 434-3840
Mailing address
10 BIRCHVIEW ST, TAYLORS, SC 29687-4193
(864) 434-3840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244864
SC
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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