Dr RICHARD WALLER MD is a male medical professional, specializing in Family Medicine. He graduated in 1974 from University Of Mississippi School Of Medicine.
WARRINGTON CLINIC PA
1022 MARTIN LUTHER KING DR
MARKS
MS
386461832
Tel: 6623263500
| Npi | 1821001041 |
| Pac Id | 5698745420 |
| Professional Enrollment Id | I20041129000760 |
| Last Name | WALLER |
| First Name | RICHARD |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| All Secondary Specialties | |
| Organization Legal Name | WARRINGTON CLINIC PA |
| Group Practice Pac Id | 1850350026 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 1022 MARTIN LUTHER KING DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MARKS |
| State | MS |
| Zip Code | 386461832 |
| Phone Number | 6623263500 |
| Hospital Affiliation Ccn 1 | 251304 |
| Hospital Affiliation Lbn 1 | TALLAHATCHIE CRITICAL ACCESS HOSPITAL |
| Hospital Affiliation Ccn 2 | 250042 |
| Hospital Affiliation Lbn 2 | NORTHWEST MISSISSIPPI MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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