Nikita Waller, CNIM
NPI #1669907507 in Stonecrest, Georgia
Provider Information
- NPI Number
- 1669907507
- Entity Type
- Individual
- Name
- Nikita Waller, CNIM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Credential
- CNIM
- Enumeration Date
- Apr 28, 2017
- Last Updated
- Feb 13, 2021
Practice Location
- Address
- 3635 PEBBLE ST
- City
- Stonecrest
- State
- Georgia
- ZIP Code
- 30038-3395
- Phone
- (954) 668-4696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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