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Dr. James David Waller, MD
Cardiovascular Disease Physician in Moultrie, Georgia
NPI 1902801285

James David Waller is a Cardiovascular Disease Physician based in Moultrie, GA and is specialized in Cardiovascular Disease. James David Waller practices in Moultrie, GA and has the professional credentials of MD. The NPI Number for James David Waller is 1902801285 and holds a License No. 037415 (Georgia).

The current practice location address for James David Waller is 3004 2Nd St Se, Moultrie, GA and can be reached out via phone at 229-891-9131.

Location: 3004 2Nd St Se, Moultrie, GA, 31776-2876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902801285
Provider Name
James David Waller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3004 2Nd St Se, Moultrie, GA, 31776-2876
Phone Number
229-891-9131
Fax Number
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000565177H 05 GA
000565177L 05 GA
000565177J 05 GA
000565177I 05 GA
000565177K 05 GA
institution
Provider Business Practice Location Address Details
Address
3004 2Nd St Se
City
Moultrie
State
Georgia
Zip
31768-6797
Phone Number
229-891-9131
Fax Number
person
Provider Business Mailing Address Details
Address
3004 2Nd St Se
City
Moultrie
State
Georgia
Zip
31768-6797
Phone Number
229-891-9131
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
037415 (Georgia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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