Individual provider · Type 1 NPI
Jamie Waller
Clinic/Center · Gadsden, AL
NPI number
1679933220
Active
Practice location
723 Berea Ave
Gadsden, AL 35901-4155
Mailing address
1303 Bellevue Dr
Gadsden, AL 35904-3622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1679933220
Jamie Waller's National Provider Identifier is 1679933220, issued on Feb 24, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gadsden, AL. The record was last updated on Feb 24, 2016.