Mary Waller, RN
NPI #1104188705 in Swainsboro, Georgia
Provider Information
- NPI Number
- 1104188705
- Entity Type
- Individual
- Name
- Mary Waller, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Jun 11, 2012
- Last Updated
- Jun 11, 2012
Practice Location
- Address
- 223 N ANDERSON DR
- City
- Swainsboro
- State
- Georgia
- ZIP Code
- 30401-4440
- Phone
- (478) 289-2683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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