JEROME WALLER JR., M.D.
Family Medicine
Active
Individual
NPI: 1043262868
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 016611 (SC) |
Frequently Asked Questions
NPI 1043262868 is the National Provider Identifier for JEROME WALLER JR., M.D., a Family Medicine provider located in Liberty, SC. This NPI was enumerated on May 17, 2006.
JEROME WALLER JR., M.D. practices at 300 W FRONT ST, Liberty, SC 29657.
Quick Facts
- NPI
- 1043262868
- Type
- Individual
- Enumerated
- May 17, 2006
- Last Updated
- Jun 30, 2021
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