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Search › Georgia › 208000000X

Malissa Wall, D.O

NPI 1275820235 · on the registry since 2011

Practice

Address
1438 Mclendon Dr
Decatur, GA 30033
Phone
(770) 414-0337
Fax
(855) 294-1992
Organisation at this address
Milestone Pediatrics Llc
Milestone Family Medicine
Milestone Pediatrics And Family Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-27

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