William C Waller, CCP
William C Waller, CCP is a healthcare provider listed in Richland, Mississippi. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2026
Practice location Address checks out
314 Southwind DrRichland, MS 39218-9215
Phone: (601) 502-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| 246ZS0400X (primary) | Taxonomy 246ZS0400X · Licence 154 (GA) |
|---|
Record details
| NPI number | 1417801002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2026 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |