IndividualActive
Alan Waller, MD
NPI 1962481226 · Surgery Physician · Thomasville, GA
Provider details
- NPI number
- 1962481226
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 018761 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
100 Mimosa Drive
Thomasville, GA 31792
Phone: (229) 226-8881
Fax: (229) 225-2165
Approximate (ZIP-level) locationGet directions
Mailing address
100 Mimosa Drive
Thomasville, GA 31792
Registry dates
- Enumerated
- 2006-01-13
- Last updated
- 2015-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.