Organization
SCOT A. WALL, MD, PC
Active
Other names
Wall Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOT ALLEN WALL MD (OWNER/PRESIDENT)
(229) 888-2395
Entity
Organization
Contact information
Practice address
2308 PALMYRA RD, ALBANY, GA 31701-1324
(229) 888-2395
Mailing address
2308 PALMYRA RD, ALBANY, GA 31701-1324
(229) 888-2395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55000513A
—
GA
Enumeration date
07/18/2005
Last updated
03/03/2008
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