Individual
BARRY M WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 JEFFERSON AVE, 111B, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7487
Mailing address
1030 JEFFERSON AVE, 111B, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7487
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD013459
TN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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