Walters, George John

Walters, George John is an sole proprietor health care provider with primary practice located at 2202 State Ave Suite 200, Panama City FL 32405-7601. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Walters, George John can be contacted via phone (850) 763-8585.

Contact Information

Primary practice address
2202 State Ave Suite 200 Panama City FL 32405-7601
Phone: (850) 763-8585
Fax: (850) 763-3920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN0012432 Florida

Profile Details

NPI number 1477538924
LBN Legal business name Walters, George John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Jul 20th, 2024 - about 2 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 1477538924 NPPES
Florida MEDICAID 073701101

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