Organization
DONALD R WALTERS MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R WALTERS MDPC (OWNER)
(423) 727-7711
Entity
Organization
Contact information
Practice address
212 N CHURCH ST, MOUNTAIN CITY, TN 37683-1368
(423) 727-7711
(423) 727-0209
Mailing address
212 N CHURCH ST, MOUNTAIN CITY, TN 37683-1368
(423) 727-7711
(423) 727-0209
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD9597
TN
Other
Enumeration date
02/07/2008
Last updated
02/19/2008
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