IndividualActive
Carolyn Wall, M.D.
NPI 1124002712 · Anatomic Pathology & Clinical Pathology Physician · Brunswick, GA
Provider details
- NPI number
- 1124002712
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 038275 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
203 Indigo Drive
Southeastern Pathology Associates, PC
Brunswick, GA 31525
Phone: (912) 279-1900
Fax: (912) 261-0753
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30309
Charleston, SC 29417
Registry dates
- Enumerated
- 2005-12-06
- Last updated
- 2014-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.