Individual
WALTER GEORGE JONES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3765
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
78232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052986
—
NC
01
—
P00456117
RAILROAD-MEDICARE
NC
Enumeration date
10/05/2007
Last updated
10/22/2014
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