Walters, Paul Andrew
Walters, Paul Andrew is an individual health care provider with primary practice located at 3643 Walton Way Ext , Augusta GA 30909-4507. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walters, Paul Andrew can be contacted via phone (706) 729-9595.Contact Information
Primary practice address
3643 Walton Way Ext
Augusta GA 30909-4507
Phone: (706) 729-9595
Fax: (706) 729-0332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002120 | Georgia |
Profile Details
| NPI number | 1477546190 |
|---|---|
| LBN Legal business name | Walters, Paul Andrew |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Nov 8th, 2011 - about 15 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 | 1477546190 | NPPES |
| Georgia | MEDICAID | 000819816A |
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