Ralph Lane Wall Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27332 Issued in NC

Practice address

520 Allen Street
Montgomery Memorial Hospital
Troy, NC 27371

Phone

(910) 571-5360

NPI assigned

Jun 8, 2006

Last updated

Sep 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1174564611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 HARPER VIEW CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129633",
            "telephone_number": "336-766-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ALLEN STREET",
            "address_2": "MONTGOMERY MEMORIAL HOSPITAL",
            "city": "TROY",
            "state": "NC",
            "postal_code": "27371",
            "telephone_number": "910-571-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "RALPH",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "27332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985405",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Pharmacy LLC
• Troy Surgical Clinic
• Uniquelycreatedro
• Lisa P Vang
• Touber Vang, M.D.
• Beverly Jane Weary, RN
• White Star Discount Pharmacy of Troy Inc (White Star Discount Pharmacy)
• Deborah Whitling, MSW, PLCSW
• Jonathan Wilkins, LCMHC
• Lauren Williams, M.ED, CCC-SLP

• Internal Medicine Physician in Troy, NC
• Providers in Troy, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.