Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walley Clinic PA

Organization Family Medicine Physician · NPI 1669463584

Walley Clinic PA is a Family Medicine Physician in Waynesboro, Mississippi. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

920 Matthew Dr Ste A
Waynesboro, MS 39367-2567
Phone: (601) 735-2401
Fax: (601) 735-5205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669463584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eletha Jenkins — Ceo · (601) 735-2401
NPI enumeratedOctober 31, 2005
Last updated in NPPESFebruary 27, 2008
Mailing address920 Matthew Dr, Ste A, Waynesboro, MS 39367-2567

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