Individual
RUTH E WALTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 ACADEMY AVE, ACADEMY CROSSING MEDICAL PLAZA, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Mailing address
201 S MAIN ST, STE 3400, DANVILLE, VA 24541-2932
(434) 799-4588
(434) 799-4408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101058112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010139716
—
VA
01
—
180068
ANTHEM
VA
Enumeration date
08/31/2005
Last updated
11/01/2018
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