Individual
DR. ERNEST ANDREW WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
463 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5807
(865) 980-5100
(865) 980-5105
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD44636
TN
207RP1001X
Pulmonary Disease Physician
Primary
MD44636
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD44636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514049
—
TN
Enumeration date
10/19/2005
Last updated
11/03/2025
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