Individual
SCOTT WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 E HOSPITAL RD, FT. GORDON, GA 30905-5650
(801) 400-5439
Mailing address
300 E HOSPITAL RD, FORT GORDON, GA 30905-5650
(801) 400-5439
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
89391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108871
—
MO
Enumeration date
01/21/2016
Last updated
05/06/2022
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