person
Lisa M Waller, PAC
Medical Physician Assistant in Atlanta, Georgia
NPI 1851325831

Lisa M Waller is a Medical Physician Assistant based in Atlanta, GA and is specialized in Medical. Lisa M Waller practices in Atlanta, GA and has the professional credentials of PAC. The NPI Number for Lisa M Waller is 1851325831 and holds a License No. 004516 (Georgia).

The current practice location address for Lisa M Waller is 1100 Lake Hearn Drive, Atlanta, GA and can be reached out via phone at 404-252-7339 and via fax at 404-257-0337.

Location: 1100 Lake Hearn Drive, Atlanta, GA, 30342
person
Provider Profile Details
NPI Number
1851325831
Provider Name
Lisa M Waller
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
1100 Lake Hearn Drive, Atlanta, GA, 30342
Phone Number
404-252-7339
Fax Number
404-257-0337
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 Lake Hearn Drive
City
State
Zip
30342
Phone Number
404-252-7339
Fax Number
404-257-0337
person
Provider Business Mailing Address Details
Address
1100 Lake Hearn Drive
City
State
Zip
30342
Phone Number
404-252-7339
Fax Number
404-257-0337
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004516 (New Hampshire)
Definition
Definition to come...
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