Jack G Wall, MD in Burlington, NC - Radiology

Jack G Wall, MD is a Radiology - Diagnostic Radiology physician based in Burlington, North Carolina. Jack G Wall is licensed to practice in North Carolina (license number 16037) and his current practice location is 1240 Huffman Mill Rd, Burlington, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 538-7000.

NPI number for Jack G Wall is 1902869068 and his current mailing address is Po Box 11546, Knoxville, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902869068.

Contact Information

	Jack G Wall, MD
	1240 Huffman Mill Rd, Burlington, NC 27215-8700
	(336) 538-7000
	(336) 538-7547

Physician's Profile

Full Name	Jack G Wall
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1240 Huffman Mill Rd, Burlington, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1902869068
Provider Enumeration Date: 04/10/2006
Last Update Date: 11/09/2007

Medical Identifiers

Medical identifiers for Jack G Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902869068	NPI	-	NPPES
85385	Other	NC	BCBS
8985385	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	16037 (North Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack G Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jack G Wall, MD Po Box 11546, Knoxville, TN 37939-1546 Ph: (336) 538-7000	Jack G Wall, MD 1240 Huffman Mill Rd, Burlington, NC 27215-8700 Ph: (336) 538-7000

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Radiology Doctors in Burlington, NC

David A Jordan, MD Radiology Medicare: Medicare Enrolled Practice Location: 1240 Huffman Mill Rd, Burlington, NC 27215 Phone: 336-538-7000 Fax: 336-538-7547
Anna Robbins, RDMS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 1240 Huffman Mill Rd, Burlington, NC 27215 Phone: 336-538-7173
Glenn S Chrystal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1236 Huffman Mill Rd, Suite 120, Burlington, NC 27215 Phone: 336-538-7725
Geoffrey H Browne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1240 Huffman Mill Rd, Burlington, NC 27215 Phone: 336-538-7000 Fax: 336-538-7547

Jack G Wall, MD - Radiology in Burlington, NC