-- JACK G WALL -- MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1902869068- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1240 HUFFMAN MILL RD, BURLINGTON, NC, 272158700
- Phone
- (336) 538-7000
- Fax
- (336) 538-7547
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: NC #16037