| J Gregory Waller Pc | |
|
602 Pat Haralson Drive, Blairsville, GA 30512 | |
| (706) 745-6764 | |
| Not Available |
| Full Name | J Gregory Waller Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 602 Pat Haralson Drive, Blairsville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295907848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000746 (Georgia) | Primary |
| Provider Name | James G Waller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891714747 PECOS PAC ID: 2365515509 Enrollment ID: I20080721000568 |
| Mailing Address | Practice Location Address |
|---|---|
| J Gregory Waller Pc 602 Pat Haralson Dr, Blairsville, GA 30512-8414 Ph: (706) 745-6764 | J Gregory Waller Pc 602 Pat Haralson Drive, Blairsville, GA 30512 Ph: (706) 745-6764 |
Northpointe Foot And Ankle Center Podiatrist Medicare: Medicare Enrolled Practice Location: 63 Highway 515 E, Blairsville, GA 30512 Phone: 706-745-1500 |
Dr. J. Gregory Waller, DPM,P.C. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 602 Pat Haralson Dr, Blairsville, GA 30512 Phone: 706-745-6764 Fax: 706-745-7170 |