NPI Profile for KERI WALLIS in MILLEDGEVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Case Management |
163WC0400X |
| NPI # | 1548955842 |
|
| Status | Active | |
| Credentials | MSN-ED, RN, CCM | |
| Entity | Individual | |
| Enumeration date | 04/11/2023 | |
| Last updated | 04/11/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KERI WALLIS
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