person
Leah M Waller, PA
Medical Physician Assistant in Vidalia, Georgia
NPI 1962873711

Leah M Waller is a Medical Physician Assistant based in Vidalia, GA and is specialized in Medical. Leah M Waller practices in Vidalia, GA and has the professional credentials of PA. The NPI Number for Leah M Waller is 1962873711 and holds a License No. 007734 (Georgia).

The current practice location address for Leah M Waller is 1 Meadows Pkwy, Vidalia, GA and can be reached out via phone at 912-535-5800 and via fax at 912-535-5830.

Location: 1 Meadows Pkwy, Vidalia, GA, 30475-0407
person
Provider Profile Details
NPI Number
1962873711
Provider Name
Leah M Waller
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Meadows Pkwy, Vidalia, GA, 30475-0407
Phone Number
912-535-5800
Fax Number
912-535-5830
Provider Enumeration Date
10/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Meadows Pkwy
City
State
Zip
30474-8759
Phone Number
912-535-5800
Fax Number
912-535-5830
person
Provider Business Mailing Address Details
Address
1 Meadows Pkwy
City
State
Zip
30474-8759
Phone Number
912-535-5800
Fax Number
912-535-5830
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
007734 (Georgia)
Definition
Definition to come...
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