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William Waller, CCP
NPI 1417801002 · on the registry since 2026 · sole proprietor
Practice
- Address
- 314 Southwind Dr
Richland, MS 39218 - Phone
- (601) 502-4381
Registry record
- Primary taxonomy
- 246ZS0400X
246ZS0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi