Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEAH M WALLER, PA
ActiveLEAH M WALLER, PA is a Medical Physician Assistant healthcare provider located in VIDALIA, Georgia. NPI 1962873711 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · VIDALIA, GA
Registration Details
- NPI Number
- 1962873711
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2015 (10.638863015442 yrs)
- Last Updated
- Oct 17, 2019
- License
-
007734 (GA)
Practice Information
- Address
-
1 MEADOWS PKWYVIDALIA, GA, 304748759Browse GA providers · Browse ZIP 30474
- Phone
- 9125355800
- Fax
- 9125355830
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in VIDALIA, GA
| Name | Credential | NPI |
|---|---|---|
| DUSTIN J CARTER | MPAS, PA-C | 1982698361 |
| ROBERT LEE ARNOLD | MPAS, PA-C | 1265426639 |
| JOHN BURTON DERRICK | — | 1932253606 |
| MR. DANIEL LAUREN DASHER | MSPA, PA-C | 1689163685 |
| ESTHER HARVEY CLEMENTS | PA | 1861050890 |
| HUNTER E LYNN | PA-C | 1184226706 |
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.