Individual
JAMES OLIVER WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 GLENWOOD ST, MOBILE, AL 36606-4438
(620) 360-0795
Mailing address
213 GLENWOOD ST, MOBILE, AL 36606-4438
(620) 360-0795
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.36610
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
06/29/2020
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