Leah M. Waller, PA
Physician Assistant · Vidalia, GA
UnclaimedPANPI 1962873711
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2015-10-19
- Practice location
- Vidalia, GA
- Last NPPES update
- 2019-10-17
State licenses
- GA · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.