LEAH M WALLER

VIDALIA, GA
NPI1962873711
Former NameLEAH M MEADOWS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  007734)
Enumeration Date2015-10-19
Last Update Date2019-10-17
Business Address
LEAH M WALLER PA
1 MEADOWS PKWY
VIDALIA, GA 30474-8759
Phone number: 912-535-5800
Mailing Address
LEAH M WALLER PA
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-537-4986