Justin Waller, DPM Valid NPI
Individual provider · Foot & Ankle Surgery Podiatrist · Hickory, NC
- NPI
- 1760122006
- Type
- Individual (Type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist (Podiatrist)
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213ES0103X
- License number
- 852 (NC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-04-01
- Last updated
- 2025-05-22
Practice location
1501 Tate Blvd Se
Hickory, NC 28602-1384
(828) 304-0400