Walls, Charles T

Walls, Charles T is an individual health care provider with primary practice located at 915 Medical Cir , Myrtle Beach SC 29572-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Walls, Charles T can be contacted via phone (843) 213-1790.

Contact Information

Primary practice address
915 Medical Cir Myrtle Beach SC 29572-4116
Phone: (843) 213-1790
Fax: (843) 213-1830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 11073 South Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11073 South Carolina

Profile Details

NPI number 1003886052
LBN Legal business name Walls, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003886052 NPPES
South Carolina MEDICAID 110739
South Carolina MEDICAID 890684H

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