CHARLES WALLER, MD
General Practice
Active
Individual
NPI: 1306841341
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | 29738 (KY) |
| Emergency Medicine | 207P00000X | No | 29738 (KY) |
Frequently Asked Questions
NPI 1306841341 is the National Provider Identifier for CHARLES WALLER, MD, a General Practice provider located in Benton, KY. This NPI was enumerated on June 16, 2005.
CHARLES WALLER, MD practices at 218 BASS LN, Benton, KY 42025.
Quick Facts
- NPI
- 1306841341
- Type
- Individual
- Enumerated
- Jun 16, 2005
- Last Updated
- Feb 1, 2017
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