Individual
SCOTT WILLIAM WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE A115, GREENVILLE, SC 29615-3593
(864) 454-5628
(864) 241-9200
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
24463
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244630
—
SC
Enumeration date
03/20/2007
Last updated
06/16/2021
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