Search › Georgia › 101YP2500X
Nichole Wall
NPI 1598521841 · on the registry since 2024 · sole proprietor
Practice
- Address
- 296 Winthrop Ln
Mcdonough, GA 30253 - Phone
- (678) 458-1071
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-15
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