Individual
MRS. FALLON WATTS WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
401 E. 3RD AVE., LAKE VIEW, SC 29563
(843) 759-3009
Mailing address
P.O. BOX 624, LAKE VIEW, SC 29563
(843) 759-3009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211954
SC
Other
Enumeration date
10/15/2020
Last updated
10/16/2020
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