DoctorLicensePro

Dr. Carolyn Kinzer-Bezanson Wall, M.D.

Anatomic Pathology & Clinical Pathology

NPI: 1124002712 Georgia
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

21 years

Data Freshness6/10

Updated 4226 days ago

License Status

FloridaActive
License #

85489

Issued

Jul 16, 2002

Expires

Jan 31, 2028

Practice Information

Address
203 INDIGO DRIVE, SOUTHEASTERN PATHOLOGY ASSOCIATES, PC
BRUNSWICK, GA 31525
Phone
(912) 279-1900
In Practice Since
December 6, 2005
Data Last Updated
December 5, 2014

NPI Details

NPI Number
1124002712
Status
Active
Taxonomy Code
207ZP0102X
Data sourced from CMS NPPES public database. Last verified: December 5, 2014. Report an error