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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROSCOE CARL WALLS JR., FNP-BC

Active Sole Proprietor

MR. ROSCOE CARL WALLS JR., FNP-BC is a Family Nurse Practitioner healthcare provider located in BAXLEY, Georgia. NPI 1376231597 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · BAXLEY, GA

Registration Details

NPI Number
1376231597
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2023 (3.2746074568175 yrs)
Last Updated
Nov 15, 2024
License
RN253514 (GA)
Sole Proprietor
Yes

Practice Information

Address
118 AZALEA RD
ST 1
BAXLEY, GA, 315137598
Browse GA providers · Browse ZIP 31513
Phone
9127852676
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in BAXLEY, GA

Name Credential NPI
MRS. KNICOLE A LEE DNP,FNP-BC 1972791069
CAROLINE ANDERSON FNP 1679713747
MRS. MANDY SELLERS GJONE NP 1275864068
MELANIE S YOUNG FNP 1679855134
MS. KIMBERLY ANN DAVIS FNPBC 1629341862
MRS. JEANETTE LYNN HALE FNP-C 1821407289
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.