Waller, Leah M
Waller, Leah M is an individual health care provider with primary practice located at 1 Meadows Pkwy , Vidalia GA 30474-8759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Waller, Leah M can be contacted via phone (912) 535-5800.Contact Information
Primary practice address
1 Meadows Pkwy
Vidalia GA 30474-8759
Phone: (912) 535-5800
Fax: (912) 535-5830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 007734 | Georgia |
Profile Details
| NPI number | 1962873711 |
|---|---|
| LBN Legal business name | Waller, Leah M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2015 |
| Last updated | Oct 17th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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