Individual
KERI WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-ED, RN, CCM
Contact information
Practice address
113 SCENIC CT NW, MILLEDGEVILLE, GA 31061-7904
(478) 234-5419
(888) 534-9401
Mailing address
113 SCENIC CT NW, MILLEDGEVILLE, GA 31061-7904
(478) 234-5419
(888) 534-9401
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN245208
GA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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