Individual
ANDREW MADISON WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 749-5800
Mailing address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(704) 626-3237
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2021-00388
NC
207L00000X
Anesthesiology Physician
R4605
KY
Other
Enumeration date
03/22/2017
Last updated
01/31/2022
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