Individual
MRS. NATARSHA MONYANMAH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
766 WALTHER RD STE 100, LAWRENCEVILLE, GA 30046-8765
(770) 736-6300
Mailing address
503 WALES DR, JOHNS CREEK, GA 30022-8404
(973) 868-1897
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN260650
GA
363LA2100X
Acute Care Nurse Practitioner
RN260650
GA
Other
Enumeration date
07/08/2024
Last updated
03/20/2025
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