Individual
DR. ANDREW WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 VALLEY ST NE, ABINGDON, VA 24210-2912
(276) 206-8197
(276) 206-8761
Mailing address
300 VALLEY ST NE, ABINGDON, VA 24210-2912
(276) 206-8197
(276) 206-8761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257630
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0101257630
VA
208D00000X
General Practice Physician
Primary
0101257630
VA
208D00000X
General Practice Physician
51691
TN
Other
Enumeration date
07/26/2006
Last updated
02/25/2026
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