Palomo, Walter
Palomo, Walter is an individual health care provider with primary practice located at 150 Medical Blvd Suite B, Stockbridge GA 30281-5053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Palomo, Walter can be contacted via phone (770) 389-9944.Contact Information
Primary practice address
150 Medical Blvd Suite B
Stockbridge GA 30281-5053
Phone: (770) 389-9944
Fax: (770) 389-1973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 038903 | Georgia |
Profile Details
| NPI number | 1932101979 |
|---|---|
| LBN Legal business name | Palomo, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932101979 | NPPES |
| Other | 0580441 | AETNA SELECT/US HEALTHC | |
| Other | 498289 | AETNA SELECT/US HEALTHC | |
| Other | 4542188 | AETNA SELECT/US HEALTHC |
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