Individual
MR. WALTER TYRONE MILLSAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 SWEETGUM CIR, FAYETTEVILLE, NC 28304-2707
(910) 867-3279
Mailing address
6553 RHEMISH DR, FAYETTEVILLE, NC 28304-4749
(910) 257-1718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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