Individual
BIANCA NICOLE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3050 MARTIN LUTHER KING JR DR SW, STE J-4, ATLANTA, GA 30311-1500
(404) 691-8881
(404) 619-8999
Mailing address
3050 MARTIN LUTHER KING JR DR SW, STE J-4, ATLANTA, GA 30311-1500
(404) 691-8881
(404) 619-8999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007925
GA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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