Individual
DR. WALTER FRIZZELL FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-9511
(731) 587-0785
Mailing address
424 W 4TH ST, WATERLOO, IL 62298-1378
(877) 748-7030
(877) 264-9140
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25879
TN
207Q00000X
Family Medicine Physician
Primary
25879
TN
207R00000X
Internal Medicine Physician
25879
TN
208000000X
Pediatrics Physician
25879
TN
208100000X
Physical Medicine & Rehabilitation Physician
25879
TN
2085R0202X
Diagnostic Radiology Physician
25879
TN
208600000X
Surgery Physician
25879
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30848602
MEDICARE
TN
05
—
30848602
—
TN
01
—
4173958
BLUE CROSS AND BLUE SHIELD
TN
01
—
JT1036
CIGNA
TN
01
—
P00034971
RAILROAD MEDICARE
TN
Enumeration date
10/27/2005
Last updated
06/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us