Walley Clinic PA
NPI #1669463584 in Waynesboro, Mississippi
Provider Information
- NPI Number
- 1669463584
- Entity Type
- Organization
- Organization Name
- Walley Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 920 MATTHEW DR
- Address 2
- STE A
- City
- Waynesboro
- State
- Mississippi
- ZIP Code
- 39367-2567
- Phone
- (601) 735-2401
Authorized Official
- Name
- ELETHA JANE JENKINS
- Title
- CEO
- Phone
- (601) 735-2401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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