Individual
WALTER STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
172 MJ TAYLOR RD, ADEL, GA 31620-3497
(229) 896-8500
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3422
(228) 353-6060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN188139
GA
Other
Enumeration date
01/31/2017
Last updated
03/29/2021
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