Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY WALL, PA
ActiveRANDY WALL, PA is a Physician Assistant healthcare provider located in CLARKSVILLE, Tennessee. NPI 1588760391 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1588760391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.896499353024 yrs)
- Last Updated
- Aug 4, 2011
- License
-
446 (TN)
Practice Information
- Address
-
651 DUNLOP LNCLARKSVILLE, TN, 370405015Browse TN providers · Browse ZIP 37040
- Phone
- 9315021370
- Fax
- 6152690135
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| KRISTINA RENAE GREENE | PA-C | 1609879782 |
| KELLY M SMART | P.A | 1720081532 |
| MR. RONALD KERRY BRAWLEY | PA | 1013995513 |
| MR. AARON G KIDD | PA-C | 1437121688 |
| MR. WILLIAM E. ELKINS JR. | PA-C | 1760420640 |
| OMAR NAVA | P.A-C | 1386684348 |
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.