Individual
DR. ANTOINETTE WILKES WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
#7 GLENN BRIDGE RD, STE D, ARDEN, NC 28704-3333
(828) 684-3949
(828) 684-2330
Mailing address
#7 GLENN BRIDGE RD, STE D, ARDEN, NC 28704-3333
(828) 684-3949
(828) 684-2330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85383
BC
NC
05
—
8985383
—
NC
Enumeration date
05/15/2006
Last updated
07/20/2012
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