Charles E Wall Jr. (NPI# 1073717955, PAC ID# 1355434440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1073717955 |
| PAC ID by PECOS | 1355434440 |
| Professional Enrollment ID | I20070905000756 |
| Full Name | Charles E Wall Jr. |
| Organization Legal Name | OCH CENTER FOR BREAST HEALTH |
| Address |
102 Doctors Park Starkville MS 39759-2570 |
| Phone Number | 6626153800 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3476577545 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250050 | OCH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 Doctors Park, Starkville, MS 39759-2570 | 6626153800 | OCH CENTER FOR BREAST HEALTH |
| Organization Legal Name | OCH CENTER FOR BREAST HEALTH |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana W Brooks | Nurse Practitioner | Och Center for Breast Health | 102 Doctors Park, Starkville, MS 39759-2570 |
| Street Address |
102 DOCTORS PARK |
| City | STARKVILLE |
| State | MS |
| Zip | 39759-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana W Brooks | Nurse Practitioner | Och Center for Breast Health | 102 Doctors Park, Starkville, MS 39759-2570 |
| James T Methvin | General Surgery | 102 Doctors Park, Starkville, MS 39759-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilary H Rendon | Physical Therapy | Starkville Physical Therapy, Inc. | 100 B4 Gt Thames Dr, Starkville, MS 39759 |
| Paul R Huddleston | Physical Therapy | Starkville Physical Therapy, Inc. | 100 B4 Gt Thames Dr, Starkville, MS 39759 |
| Matthew Kyle Bills | Physician Assistant | Stewart Ear Sinus and Allergy Pllc | 4 Professional Plz, Starkville, MS 39759-1901 |
| John S Stewart | Otolaryngology | Stewart Ear Sinus and Allergy Pllc | 4 Professional Plz, Starkville, MS 39759-1901 |
| Adelaide Frances Henderson | Family Practice | 1001 Hospital Rd, Starkville, MS 39759-2125 | |
| Ava L Stegall | Family Medicine | 302 Hospital Rd, Starkville, MS 39759-2156 | |
| Leslie E Peterson | Nurse Practitioner | Digestive Health Specialists Pa | 300 Hospital Rd, Starkville, MS 39759-2156 |
| Steven C Brandon | Family Medicine | L H Brandon Md Pa | 501 Hospital Rd, Starkville, MS 39759-2158 |
| Jennifer Miranda Summers | Nurse Practitioner | L H Brandon Md Pa | 501 Hospital Rd, Starkville, MS 39759-2158 |
| Emily L.b. Landrum | Family Medicine | 501 Hospital Rd, Starkville, MS 39759-2158 | |
| Find all physicians in zip 39759 | |||
| City | STARKVILLE |
| Zip Code | 39759 |
| Specialty | GENERAL SURGERY |
| City + Specialty | STARKVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Charles E Wall Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.