Sylvan M Waller, MD
Emergency Medicine in Austell, GA. Individual provider (NPI-1).
NPI number1649227828
StatusActive
Last updated in NPPESSep 25, 2013
Details
- NPI
- 1649227828
- Entity type
- Individual (NPI-1)
- Name
- Sylvan M Waller
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2006
- Last updated
- Sep 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 057512 | GA | Yes |
Practice location
3950 Austell RdAustell, GA 30106-1121
Phone 770-732-4000
Mailing address
5665 New Northside Dr NwSuite 320
Atlanta, GA 30328-5831
Phone 770-874-5400 · Fax 770-874-5469
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