Individual
GREG WALTERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5937 MYAKKA CT, RALEIGH, NC 27616-3266
(919) 741-3226
Mailing address
5937 MYAKKA CT, RALEIGH, NC 27616-3266
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
31356439
NC
343900000X
Non-emergency Medical Transport (VAN)
Primary
31356439
NC
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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