Waller, Edmund K

Waller, Edmund K is an sole proprietor health care provider with primary practice located at 1365 Clifton Rd Ne , Atlanta GA 30322-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Waller, Edmund K can be contacted via phone (404) 778-1900.

Contact Information

Primary practice address
1365 Clifton Rd Ne Atlanta GA 30322-1013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 39693 Georgia

Profile Details

NPI number 1366550931
LBN Legal business name Waller, Edmund K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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