Individual
MR. GREGORY S WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
112 WRIGHT DR STE C, MILLEDGEVILLE, GA 31061-8567
(478) 452-3277
Mailing address
112 WRIGHT DR STE C, MILLEDGEVILLE, GA 31061-8567
(478) 452-3277
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000800
GA
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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