Individual
DR. DAVID NORTHERN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT, JOHNSON CITY, TN 37684
(423) 926-1171
(423) 979-3477
Mailing address
2137 HICKORY SPRINGS RD, JOHNSON CITY, TN 37604-8706
(423) 928-2201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD0000019848
TN
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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