Individual
MARTHA ELIZABETH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 WALKER AVE, GREENSBORO, NC 27412-5020
(336) 334-5000
Mailing address
440 STAFFORDSHIRE RD, WINSTON SALEM, NC 27104-1514
(336) 409-5709
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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