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Contact Information

KERI WALLIS, MSN-ED, RN, CCM
113 SCENIC CT NW
MILLEDGEVILLE, GA31061-7904
 Phone: 478-234-5419
 Fax: 888-534-9401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

163WC0400X
Indicates primary specialty

NPI Profile & details for KERI WALLIS · (Female)

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
  • GA License # RN245208
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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