NPI
Jeffrey Glen Walls
NPI 1114987807
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2006-03-25
- Last updated
- 2023-02-20
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Specialties
Licenses
- License NC
- 200300423
Location
- Practice location
- 1918 Randolph Rd Ste 580
- City
- Charlotte NC
- Postal code
- 28207-1116
- Phone
- (704) 384-9900
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Charlotte, NC. 32,271 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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