Leah M Waller, PA

NPI #1962873711 in Vidalia, Georgia

Provider Information

NPI Number
1962873711
Entity Type
Individual
Name
Leah M Waller, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Oct 19, 2015
Last Updated
Oct 17, 2019

Practice Location

Address
1 MEADOWS PKWY
State
Georgia
ZIP Code
30474-8759
Phone
(912) 535-5800

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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