Individual
DR. BRIANNA FAITH WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
587 WATSON BAY, STONE MOUNTAIN, GA 30087-6147
(601) 946-7558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16121
MS
183500000X
Pharmacist
RPH033874
GA
Other
Enumeration date
11/05/2020
Last updated
10/01/2023
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