IndividualActive
Stephen Wall, M.D.
NPI 1467454462 · Pediatric Adolescent Medicine Physician · Clyde, NC
Provider details
- NPI number
- 1467454462
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 38234 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15 Facility Dr
Clyde, NC 28721-9438
Phone: (828) 452-2211
Fax: (828) 452-4421
Approximate (ZIP-level) locationGet directions
Mailing address
15 Facility Dr
Clyde, NC 28721-9438
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.