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Gregory Waller, H.I.S
NPI 1871741413 · on the registry since 2008 · sole proprietor
Practice
- Address
- 112 Wright Dr Ste C
Milledgeville, GA 31061 - Phone
- (478) 452-3277
- Organisation at this address
- Milledgeville Dental Imaging, Llc
Collaborative Health Care & Tng InsInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-08
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 Georgia