Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexa Royal Wall

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205708591

Alexa Royal Wall is a Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

550 Medical Center Blvd
Lawrenceville, GA 30046-7688
Phone: (678) 312-4790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Registered Nurse Taxonomy 163W00000X · Licence RN315141 (GA)

Record details

NPI number1205708591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address1540 Highway 82, Winder, GA 30680-3306

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