Individual
DR. NICHOLAS JOSPEH WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
405 PHARR RD NE, ATLANTA, GA 30305-3200
(404) 231-1872
Mailing address
77 12TH ST NE UNIT 1518, ATLANTA, GA 30309-4079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010105
GA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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