|
| |
|
63 Highway 515 E, Blairsville, GA 30512-8501 | |
| (706) 745-1500 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 63 Highway 515 E, Blairsville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558555060 | NPI | - | NPPES |
| 000412068C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD000611 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 309, Blairsville, GA 30514-0309 Ph: (706) 745-1500 | 63 Highway 515 E, Blairsville, GA 30512-8501 Ph: (706) 745-1500 |
J Gregory Waller Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 602 Pat Haralson Drive, Blairsville, GA 30512 Phone: 706-745-6764 | |
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 |