Search › North Carolina › 363A00000X
Michael Wall, PA-C
NPI 1407244007 · on the registry since 2015
Practice
- Address
- 1515 Sunset Ave
Clinton, NC 28328 - Phone
- (910) 592-4000
- Fax
- (910) 592-4007
- Organisation at this address
- Simpleclinic Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-05
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 North Carolina