| Dr James David Waller, MD | |
|
3004 2nd St Se, Moultrie, GA 31768-6797 | |
| (229) 891-9131 | |
| Not Available |
| Full Name | Dr James David Waller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3004 2nd St Se, Moultrie, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902801285 | NPI | - | NPPES |
| 000565177H | Medicaid | GA | |
| 000565177L | Medicaid | GA | |
| 000565177J | Medicaid | GA | |
| 000565177I | Medicaid | GA | |
| 000565177K | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 037415 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James David Waller, MD Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 890-5305 | Dr James David Waller, MD 3004 2nd St Se, Moultrie, GA 31768-6797 Ph: (229) 891-9131 |
Mr. James Clyde Lamon, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 320 Sunset Circle, Moultrie, GA 31768 Phone: 229-985-5200 Fax: 229-985-1302 | |
Marianne Laguerre, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3007 2nd St Se, Moultrie, GA 31768 Phone: 516-668-3180 Fax: 229-891-9141 | |
Michael J Dawson Jr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-785-2400 | |
Jonathan Fairley, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-502-9782 | |
Francis Kundi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14 Hospital Park, Moultrie, GA 31768 Phone: 229-986-1156 Fax: 229-985-2205 | |
Pallavi Luthra, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 115 31st Ave Se, Moultrie, GA 31768 Phone: 229-890-5305 Fax: 229-890-5307 | |
Brett Alan Krummert, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-502-9782 |