Individual
DR. JULIUS BYRON WALTHALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 PARK CEDAR DR, CHARLOTTE, NC 28210-8902
(704) 542-6577
(704) 542-4405
Mailing address
10000 PARK CEDAR DR, CHARLOTTE, NC 28210-8902
(704) 542-6577
(704) 542-4405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26611
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85548
NCBCBS
NC
05
—
8985548
—
NC
Enumeration date
07/12/2006
Last updated
07/08/2007
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