Edmund K Waller
Hematologist
1365 Clifton Rd Ne
Atlanta
, Georgia 30322-1013
Edmund K Waller
Hematologist
1365 Clifton Rd Ne
Atlanta
, Georgia 30322-1013
(404) 778-1900
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Edmund K Waller
- 1365 Clifton Rd Ne
- Atlanta, GA
- Zip : 30322-1013
- Phone : (404) 778-1900
Second Address
- Edmund K Waller
- 1365 Clifton Rd Ne
- Atlanta, GA
- Zip : 30322-1013
- Phone : (404) 778-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | 39693 | GA |
National Provider Identifier
| NPI | 1366550931 |
|---|---|
| Provider Name | Edmund K Waller |
| First Address | Atlanta, GA 30322-1013 |
| Second Address | Atlanta, GA 30322-1013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F96897 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.