Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDA ELLEN WALL, PA-C
ActiveFREDA ELLEN WALL, PA-C is a Surgical Physician Assistant healthcare provider located in ATLANTA, Georgia. NPI 1063417608 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ATLANTA, GA
Registration Details
- NPI Number
- 1063417608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2005 (21.116861413839 yrs)
- Last Updated
- Oct 22, 2007
- Licenses
-
002766 (GA)002766 (GA)
Practice Information
- Address
-
2001 PEACHTREE RD NESTE 645ATLANTA, GA, 303091476Browse GA providers · Browse ZIP 30309
- Phone
- 4043500106
- Fax
- 4043500176
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. AMANDA KATHRYN KLOSKY | PAC | 1487646287 |
| PATRICIA E BERGEY | PA-C | 1679555924 |
| MRS. AMANDA GRAEFIN VON DER SCHULENBURG | PA-C | 1619951985 |
| MR. BASSEM ELKHAYAT | L.S.A. | 1508838608 |
| CHRISTOPHER W NICKUM | P.A. | 1942260302 |
| E ALLEN MORGAN JR. | PA | 1255397915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.