Individual
THANDI WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 253-9024
(860) 253-9593
Mailing address
1301 HODGES DR, TALLAHASSEE, FL 32308-4614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73315
CT
Other
Enumeration date
07/14/2020
Last updated
11/21/2023
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