Individual
DR. JANET R WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-4686
Mailing address
3259 EMERALD BROOK LN, DECATUR, GA 30033-3951
(404) 292-2276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000727
GA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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