Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL DWAYNE WALL, PA, ATC, PTA, CEAS
ActiveMR. MICHAEL DWAYNE WALL, PA, ATC, PTA, CEAS is a Physician Assistant healthcare provider located in POWELL, Tennessee. NPI 1386794717 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · POWELL, TN
Registration Details
- NPI Number
- 1386794717
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.40994810338 yrs)
- Last Updated
- Jun 14, 2010
- Licenses
-
3396 (TN)110102223 (TN)PENDING (TN)
Practice Information
- Address
-
7557 DANNAHER WAYSUITE 230POWELL, TN, 378493558Browse TN providers · Browse ZIP 37849
- Phone
- 8659385222
- Fax
- 8659385264
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in POWELL, TN
| Name | Credential | NPI |
|---|---|---|
| FRANCES L DO | PA | 1629260542 |
| SCOTT H. CARR | PA-C | 1689814899 |
| MRS. STEPHANIE K LEZATTE | PA-C | 1902128812 |
| MRS. LAUREN L. CLEAR | PA | 1851662498 |
| ROBERT STEPHEN EDMONDS | PA-C | 1467834838 |
| ASHLEY LYNN SHEHANE | PA-C | 1578073219 |
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.