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1598873440
JOHN L WALLER
CHARLESTON, SC
NPI
1598873440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: SC 23009)
Enumeration Date
2006-08-29
Last Update Date
2011-09-06
Business Address
JOHN L WALLER MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
JOHN L WALLER MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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