Individual
MR. SCOTT WILLIAM WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 S 3RD ST STE 210, COLUMBUS, OH 43215
(844) 326-3119
(855) 737-5542
Mailing address
333 COMMERCE ST STE 700, NASHVILLE, TN 37201-1835
(844) 326-3119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003057RX
OH
363A00000X
Physician Assistant
5601008780
MI
Other
Enumeration date
08/31/2009
Last updated
11/01/2019
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