Walters, David J
Walters, David J is an individual health care provider with primary practice located at 1507 Alice St , Waycross GA 31501-4530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walters, David J can be contacted via phone (912) 283-7220.Contact Information
Primary practice address
1507 Alice St
Waycross GA 31501-4530
Phone: (912) 283-7220
Fax: (912) 283-7026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 043811 | Georgia |
Profile Details
| NPI number | 1114985231 |
|---|---|
| LBN Legal business name | Walters, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Feb 11th, 2010 - about 16 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 | 1114985231 | NPPES |
| Georgia | MEDICAID | 000756313A |
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