Benjamin R Waller III

Pediatric Medicine

Germantown, TN 38138

Male - 35 Yrs Experience - English

Location

7691 Poplar Ave

Germantown, TN 38138

Phone number

(901) 516-6000

Summary

Benjamin R Waller III is a Pediatric Medicine located at Germantown, TN 38138 and is affiliated with Hospitals. He received his medical degree from University Of Tennessee, Hsc, College Of Medicine and has been in practice for more than 35 years.

Professional Identification

  1. NPI#: 1013974062
  2. PAC ID: 1951595438
  3. Clinician Enrollment ID: I20101028000743
  4. Gender: Male
  5. Enumeration: April 26 2006
  6. Last Updated: July 13 2018

Medical Credentials

  1. Credential: Undefined
  2. Medical school: University Of Tennessee, Hsc, College Of Medicine
  3. Graduation year: 1987
  4. Taxonomy: 207RI0011X
  5. Specialty: Pediatric Medicine
  6. All specialties: Cardiovascular Disease (cardiology), Interventional Cardiology

Medical Practice

  1. Organization: Ut Lebonheur Pediatric Specialists, Inc.
  2. Group PAC ID: 7719173939
  3. Number of Group Members: 111

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 7691 Poplar Ave, Germantown TN 38138 (901) 516-6000
  2. 100 N Humphreys Blvd, Memphis TN 38120 (901) 287-7337
  3. 770 Estate Place, Memphis TN 38120 (901) 287-4030
  4. 51 N Dunlap St, Memphis TN 38105 (901) 287-7337
  5. 848 Adams Ave, Memphis TN 38103

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