Antoinette W. Wall, M.D. Pa

LBN: Antoinette W. Wall, M.D. Pa
Antoinette W. Wall, M.D. Pa is an health care organization with primary practice located at 7 Glenn Bridge Rd Ste D, Arden NC 28704-3322. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Antoinette W. Wall, M.D. Pa can be contacted via phone (828) 684-3949, or through Wall, Antoinette W. via phone (828) 684-3949.

Contact Information

Primary practice address
7 Glenn Bridge Rd Ste D Arden NC 28704-3322
Phone: (828) 684-3949
Fax: (828) 684-2330
Website:
Map and Directions
Authorized official contact:
Name: Wall, Antoinette W. M.D PA
Phone: (828) 684-3949

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 20857 North Carolina

Profile Details

NPI number 1023283355
LBN Legal business name Antoinette W. Wall, M.D. Pa
DBA Doing business as
Authorized official Wall, Antoinette W. M.D PA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023283355 NPPES
North Carolina Other 85383 BLUE CROSS/BLUE SHIELD
North Carolina MEDICAID 8985383 BLUE CROSS/BLUE SHIELD

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