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Individual

AMANDA CLAIRE WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 322-5000
Mailing address
5306 STEWARTS FERRY PIKE, MOUNT JULIET, TN 37122-4203
(615) 855-9842

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235165
TN

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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