| Bianca Nicole Waller, DC | |
|
3050 Martin Luther King Jr Dr Sw, Ste J-4, Atlanta, GA 30311-1500 | |
| (404) 691-8881 | |
| (404) 619-8999 |
| Full Name | Bianca Nicole Waller |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 3050 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730268780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR007925 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bianca Nicole Waller, DC 3050 Martin Luther King Jr Dr Sw, Ste J-4, Atlanta, GA 30311-1500 Ph: (404) 691-8881 | Bianca Nicole Waller, DC 3050 Martin Luther King Jr Dr Sw, Ste J-4, Atlanta, GA 30311-1500 Ph: (404) 691-8881 |
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