Waller, Mary

Waller, Mary is an individual health care provider with primary practice located at 223 N Anderson Dr , Swainsboro GA 30401-4440. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Waller, Mary can be contacted via phone (478) 289-2683.

Contact Information

Primary practice address
223 N Anderson Dr Swainsboro GA 30401-4440
Phone: (478) 289-2683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN028402 Georgia

Profile Details

NPI number 1104188705
LBN Legal business name Waller, Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 14 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.

Request for update

Popular Providers