Organization
WALTON MEDICAL STAFFIN. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DELVEGA WALTON (CEO)
(800) 231-6031
Entity
Organization
Contact information
Practice address
834 ARMOUR RD, TIFTON, GA 31794-4519
(800) 231-6031
Mailing address
PO BOX 550, TIFTON, GA 31793-0550
(800) 231-6031
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3131
GA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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