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Kelly Wall, FNP-C
NPI 1194290338 · on the registry since 2018
Practice
- Address
- 414 Lugenia Dr
Vidalia, GA 30474 - Phone
- (912) 537-9355
- Fax
- (912) 335-4804
- Organisation at this address
- Southern Chiro Vidalia, Llc
Preferred Labs Of Vidalia LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia