NPI 1104188705

Mary Waller, RN

Practitioner Registered Nurse Swainsboro, GA

Practice location

Address: 223 N Anderson Dr, Swainsboro, GA 30401-4440
Phone: (478) 289-2683

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RN028402 (GA)

Other Registered Nurse providers in Georgia →

Registry record

NPI: 1104188705
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2012
Record last updated: 11 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.