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Contact Information

ALLISON P WALL, MD
1340 BROAD AVE
SUITE 270
GULFPORT, MS39501-2404
 Phone: 228-575-1234
 Fax: 228-575-1230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALLISON P WALL · (Female)

NPI # 1346446671
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2007
Last updated 07/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 20162
  • MS Medicaid 04183295
Hospital affiliation(s)
  • BILOXI REGIONAL MEDICAL CENTER - (Acute Care)
    150 REYNOIR STREET
    BILOXI, MS 39530
  • GARDEN PARK MEDICAL CENTER - (Acute Care)
    15200 COMMUNITY ROAD
    GULFPORT, MS 39503
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
  • SINGING RIVER HOSPITAL - (Acute Care)
    2809 DENNY AV
    PASCAGOULA, MS 39581
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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