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NPI Profile for JILL WALLNER in CROSSVILLE, TN.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice |
| NPI Number | 1942357942 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 01/04/2007 | |
| Last updated | 07/23/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JILL WALLNER
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JILL WALLNER, MD