CHARLES WALL JR., MD
Surgery
Active
Individual
NPI: 1073717955
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | 19801 (MS) |
Frequently Asked Questions
NPI 1073717955 is the National Provider Identifier for CHARLES WALL JR., MD, a Surgery provider located in Starkville, MS. This NPI was enumerated on June 13, 2007.
CHARLES WALL JR., MD practices at 102 DOCTORS PARK, Starkville, MS 39759.
Quick Facts
- NPI
- 1073717955
- Type
- Individual
- Enumerated
- Jun 13, 2007
- Last Updated
- Oct 6, 2025
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