Individual
DR. DAVID J WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 ALICE ST, WAYCROSS, GA 31501-4530
(912) 283-7220
(912) 283-7026
Mailing address
86067 SHELTER ISLAND DR, FERNANDINA BEACH, FL 32034-8153
(904) 225-8477
(912) 283-7026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043811
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000756313A
—
GA
Enumeration date
05/01/2006
Last updated
02/11/2010
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