Wall, Freda Ellen
Wall, Freda Ellen is an individual health care provider with primary practice located at 2001 Peachtree Rd Ne Ste 645, Atlanta GA 30309-1476. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Wall, Freda Ellen can be contacted via phone (404) 350-0106.Contact Information
Primary practice address
2001 Peachtree Rd Ne Ste 645
Atlanta GA 30309-1476
Phone: (404) 350-0106
Fax: (404) 350-0176
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002766 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002766 | Georgia |
Profile Details
NPI number | 1063417608 |
---|---|
LBN Legal business name | Wall, Freda Ellen |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2005 |
Last updated | Oct 22nd, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063417608 | NPPES |
Other | P00236158 | RAILROAD MEDICARE |
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