Individual
JAMARIUS WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-7777
Mailing address
5151 PARKWAY DR, JACKSON, MS 39211-4354
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
99445
GA
Other
Enumeration date
03/26/2022
Last updated
10/11/2024
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