Wagner, Meredith Wall

Wagner, Meredith Wall is an individual health care provider with primary practice located at 6254 Poplar Ave , Memphis TN 38119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wagner, Meredith Wall can be contacted via phone (901) 624-3333.

Contact Information

Primary practice address
6254 Poplar Ave Memphis TN 38119
Phone: (901) 624-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.165930 Illinois

Profile Details

NPI number 1316380694
LBN Legal business name Wagner, Meredith Wall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2013
Last updated Aug 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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