Healthcare Provider Details

I. General information

NPI: 1679438303
Provider Name (Legal Business Name): ATLANTIC ON-CALL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 WAMSUTTA MILL RD STE B
MORGANTON NC
28655-5521
US

IV. Provider business mailing address

123 WAMSUTTA MILL RD STE B
MORGANTON NC
28655-5521
US

V. Phone/Fax

Practice location:
  • Phone: 828-201-6062
  • Fax:
Mailing address:
  • Phone: 828-201-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DARREN SCOTT WALL
Title or Position: OWNER
Credential:
Phone: 828-201-6062