Taxonomy Code 208D00000X(208d00000x)
General Practice Physician. Providers: 1

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General Practice Physician Providers

NPI Name Type Address

1306841341

MD Charles Waller

Individual

218 Bass Ln

Benton, KY

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 208D00000X
Display Name General Practice Physician
Taxonomy Group Allopathic & Osteopathic Physicians
Taxonomy Classification General Practice
Definition Definition to come...
Effective Date September 30, 2009
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