LISA M WALLER

ATLANTA, GA
NPI1851325831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NH  004516)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
-- LISA M WALLER PAC
1100 LAKE HEARN DRIVE STE #450
ATLANTA, GA 30342
Phone number: 404-252-7339
Mailing Address
-- LISA M WALLER PAC
1100 LAKE HEARN DRIVE STE 450
ATLANTA, GA 30342
Phone number: 404-252-7339
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