Organization
BARNESVILLE FAMILY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERT P WALL M.D. (PRESIDENT CEO)
(770) 358-3284
Entity
Organization
Contact information
Practice address
526 COLLEGE DR, BARNESVILLE, GA 30204-1713
(770) 358-3284
(770) 358-1015
Mailing address
PO BOX 4867, MACON, GA 31208-4867
(770) 358-3284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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