Search › Mississippi › 163WA2000X
Erik Waller
NPI 1699147033 · on the registry since 2015 · sole proprietor
Practice
- Address
- 231 Methodist Blvd
Hattiesburg, MS 39402 - Phone
- (601) 296-3530
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 163WA2000X
163WA2000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-26
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