National Provider Identifier Database

ANTOINETTE W WALL MD PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ANTOINETTE W. WALL, M.D. PA
7 GLENN BRIDGE RD
STE D
ARDEN, NC28704-3322
Phone: 828-684-3949
Fax: 828-684-2330
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ANTOINETTE W. WALL, M.D. PA

NPI Number 1023283355
Legal business name
LBN
ANTOINETTE W. WALL, M.D. PA
Authorized official ANTOINETTE WALL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/28/2008
Last updated 04/28/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 20857
  • NC Medicaid: 8985383
  • NC Other: 85383 BLUE CROSS/BLUE SHIELD

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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