Emily Marie Waller, PA-C

NPI #1679857254 in Rocky Mount, Virginia

Provider Information

NPI Number: 1679857254
Entity Type: Individual
Name: Emily Marie Waller, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 30, 2011
Last Updated: Aug 11, 2022

Practice Location

Address: 390 S MAIN ST
Address 2: SUITE 201
City: Rocky Mount
State: Virginia
ZIP Code: 24151-1766
Phone: (540) 484-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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