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

Randy Wall, PA

Individual provider Physician Assistant · NPI 1588760391

Randy Wall, PA is a Physician Assistant in Clarksville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

651 Dunlop Ln
Clarksville, TN 37040-5015
Phone: (931) 502-1370
Fax: (615) 269-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 446 (TN)

Record details

NPI number1588760391
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 4, 2011
Mailing address2020 21st Ave S, Suite 201, Nashville, TN 37212-4354

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