Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CEDRIC R WALLER
Active Sole ProprietorCEDRIC R WALLER is a Nutrition, Education healthcare provider located in KANNAPOLIS, North Carolina. NPI 1639824907 is currently active in the NPPES registry. Verify at CMS.
Nutrition, Education · KANNAPOLIS, NC
Registration Details
- NPI Number
- 1639824907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2022 (4.3072605434297 yrs)
- Last Updated
- Feb 15, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
171 ASHMOUNT DRKANNAPOLIS, NC, 28081Browse NC providers · Browse ZIP 28081
- Phone
- 9014915007
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.