Individual
COURTNEY JOSEPHINE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
631 JOHNNIE DODDS BLVD, MT PLEASANT, SC 29464-3030
(843) 881-0815
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5063
SC
Other
Enumeration date
12/04/2023
Last updated
11/11/2024
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