Walters, Scott William

Walters, Scott William is an individual health care provider with primary practice located at 200 Patewood Dr Suite A115, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Walters, Scott William can be contacted via phone (864) 454-5628.

Contact Information

Primary practice address
200 Patewood Dr Suite A115 Greenville SC 29615-3593
Phone: (864) 454-5628
Fax: (864) 241-9200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 24463 South Carolina

Profile Details

NPI number 1104941277
LBN Legal business name Walters, Scott William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 16th, 2021 - about 5 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 1104941277 NPPES
South Carolina MEDICAID 244630

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