Individual
DR. JAY DAVID WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 BUTTERNUT DR, STE B, GREENVILLE, SC 29605-4653
(864) 241-7272
(864) 672-7852
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N35782
—
SC
Enumeration date
06/16/2005
Last updated
06/15/2021
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