Franklin W Waller in Hattiesburg - Family Medicine

Franklin W Waller - NPI 1497864607

Franklin W Waller is a Family Medicine in Hattiesburg, Mississippi. Franklin W Waller practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Franklin W Waller is 1497864607. The last update date is 2016-08-23.

Franklin W Waller's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6017368282 and fax number 6015795240. The mailing address for Franklin W Waller is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Franklin W Waller
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6017368282
Fax Number 6015795240
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1497864607
Provider Enumeration Date 2006-08-30
Last Updated Date 2016-08-23

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6017368282
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 15125
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80096788 MS RAILROAD MEDICARE
640507572AY MS AMERICAN ADMIN GROUP
117443 MS --
1582301 LA --

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FAQs about Franklin W Waller

What is the unique 10-digit identifier code issued to Franklin W Waller by the Centers for Medicare & Medicaid Services?

The Franklin W Waller has been assigned the NPI (National Provider Identifier) 1497864607 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Franklin W Waller located?

The Franklin W Waller is located at 415 S 28Th Ave, Hattiesburg, MS 394017246.

What is Franklin W Waller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Franklin W Waller is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Franklin W Waller receive the assignment of its 1497864607 from the Centers for Medicare & Medicaid Services?

The Franklin W Waller was issued its 1497864607 by the Centers for Medicare & Medicaid Services on 2006-08-30.

When was the information regarding Franklin W Waller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Franklin W Waller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-08-23.

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