Individual
DR. WALTER J PASCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 MOUNT VERNON RD, DUNWOODY, GA 30338-4224
(770) 361-5556
(770) 393-1557
Mailing address
222 MORNINGSTAR WAY, BALL GROUND, GA 30107-6214
(770) 361-5556
(770) 393-1557
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
044055
GA
207W00000X
Ophthalmology Physician
13376
WV
207W00000X
Ophthalmology Physician
D2550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044055
MEDICAL LICENSE
GA
01
—
13376
PERMANENT LICENSE
WV
01
—
D2550
TEXAS MEDICAL LICENSE NUMBER
TX
Enumeration date
01/18/2007
Last updated
04/15/2015
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