Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN KINZER-BEZANSON WALL, M.D.
ActiveCAROLYN KINZER-BEZANSON WALL, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in BRUNSWICK, Georgia. NPI 1124002712 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · BRUNSWICK, GA
Registration Details
- NPI Number
- 1124002712
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2005 (20.543508137898 yrs)
- Last Updated
- Dec 5, 2014
- Licenses
-
038275 (GA)ME85489 (FL)MD29387 (SC)MD317652 (AL)MD.12093R/INACTIVE (LA)
Practice Information
- Address
-
203 INDIGO DRIVESOUTHEASTERN PATHOLOGY ASSOCIATES, PCBRUNSWICK, GA, 31525Browse GA providers · Browse ZIP 31525
- Phone
- 9122791900
- Fax
- 9122610753
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in BRUNSWICK, GA
| Name | Credential | NPI |
|---|---|---|
| MARIAN FRANCES PENNINGTON | M.D. | 1770576423 |
| PATRICK E GODBEY | M.D. | 1619951332 |
| MARK G HANLY | MBCHB, FRCPATHLOND | 1619951258 |
| ROSE P DRAVIAM | M. D. | 1205810884 |
| JOSE MIRA HERNANDEZ | M.D. | 1497739130 |
| ROGER B LANE JR. | M.D. | 1639154834 |
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.