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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA M WALLER, PAC

Active

LISA M WALLER, PAC is a Medical Physician Assistant healthcare provider located in ATLANTA, Georgia. NPI 1851325831 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ATLANTA, GA

Registration Details

NPI Number
1851325831
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2006 (20.07716862795 yrs)
Last Updated
Jul 8, 2007
License
004516 (NH)

Practice Information

Address
1100 LAKE HEARN DRIVE
STE #450
ATLANTA, GA, 30342
Browse GA providers · Browse ZIP 30342
Phone
4042527339
Fax
4042570337
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ATLANTA, GA

Name Credential NPI
MARGARET HINSON-WILLIAMS PA-C 1174528012
ASHLEY D THOMAS P.A.-C 1205815347
MRS. JENINE GHANI GATHANY PA-C 1235102955
MRS. KIMBERLY GORE-GRIFFIN PHYSICIAN ASSISTANT 1710952387
MS. ROBIN LEIGH CARY P. A. - C. 1437125051
NANCY KRALOVICH PA-C 1083674675
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.