Alan S Waller is a Specialist in Thomasville, Georgia. Alan S Waller practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alan S Waller is 1962481226. The last update date is 2015-06-25.
Alan S Waller's current location address is 100 Mimosa Drive, Thomasville, Georgia. You can contact this provider via phone number 2292268881 and fax number 2292252165. The mailing address for Alan S Waller is 100 Mimosa Drive, Thomasville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alan S Waller |
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Address | 100 Mimosa Drive, Thomasville, Georgia |
Phone Number | 2292268881 |
Fax Number | 2292252165 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1962481226 |
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Provider Enumeration Date | 2006-01-13 |
Last Updated Date | 2015-06-25 |
Provider Mailing Address Detail
Address | 100 Mimosa Drive |
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City | Thomasville |
State | Georgia (GA) |
Post Code | 31792 |
Phone Number | 2292268881 |
Fax Number | 2292252165 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 18761 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
000394732A | GA | PEACH STATE | |
000394732A | GA | -- | |
207450 | GA | WELLCARE | |
000394732G | GA | -- | |
110153553 | GA | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code assigned to Alan S Waller by the Centers for Medicare & Medicaid Services?
The Alan S Waller has been issued the NPI (National Provider Identifier) 1962481226 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Alan S Waller located?
The Alan S Waller is located at 100 Mimosa Drive, Thomasville, GA 31792.
What is Alan S Waller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alan S Waller's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Alan S Waller receive its 1962481226 assignment from the Centers for Medicare & Medicaid Services?
The Alan S Waller was assigned its 1962481226 by the Centers for Medicare & Medicaid Services on 2006-01-13.
When was the information regarding Alan S Waller most recently updated?
The details pertaining to the Alan S Waller, including its address, specialty, and other relevant information, were last refreshed on 2015-06-25.