Dr WILLIAM WALLER is a male medical professional, specializing in Dermatology. He graduated in 2006 from University Of Mississippi School Of Medicine.
HATTIESBURG CLINIC PA
415 S 28TH AVE
HATTIESBURG CLINIC DEPARTMENT OF NEUROSURGERY
HATTIESBURG
MS
394017246
Tel: 6015795459
| Npi | 1053592840 |
| Pac Id | 6204916695 |
| Professional Enrollment Id | I20111019000077 |
| Last Name | WALLER |
| First Name | WILLIAM |
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| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
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| Organization Legal Name | HATTIESBURG CLINIC PA |
| Group Practice Pac Id | 5193706794 |
| Number Of Group Practice Members | 459 |
| Line 1 Street Address | 415 S 28TH AVE |
| Line 2 Street Address | HATTIESBURG CLINIC DEPARTMENT OF NEUROSURGERY |
| Marker Of Address Line 2 Suppression | |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 394017246 |
| Phone Number | 6015795459 |
| Hospital Affiliation Ccn 1 | 250078 |
| Hospital Affiliation Lbn 1 | FORREST GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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