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

William Lowe Waller III, MD

Individual provider Dermatology Physician · NPI 1053592840

William Lowe Waller III, MD is a Dermatology in Hattiesburg, Mississippi. Graduated from University of Mississippi School of Medicine in 2006, 20 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
20
Trained at
University of Mississippi School of Medicine
Licensed in
LA, MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3 Thompson Park
Hattiesburg, MS 39401-8202
Phone: (601) 579-3130
Fax: (601) 264-5092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 21371 (MS)
Dermatology Physician Taxonomy 207N00000X · Licence MD.201654 (LA)

Record details

NPI number1053592840
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2007
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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