Individual
ERIK WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 METHODIST BLVD, HATTIESBURG, MS 39402-1297
(601) 296-3530
Mailing address
231 METHODIST BLVD, HATTIESBURG, MS 39402-1297
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R895622
MS
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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