Individual
MR. WILLIAM COREY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3100 SPRING FOREST RD, RALEIGH, NC 27616-2880
(919) 882-0768
Mailing address
PO BOX 754, MORRISVILLE, NC 27560-0754
(919) 650-1930
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
136785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053800
—
NC
Enumeration date
02/03/2010
Last updated
10/18/2010
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