Individual
GREGORY WILLIAM WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
300 N GRACE ST, ROCKY MOUNT, NC 27804
(252) 210-9856
(252) 822-5065
Mailing address
PO BOX 2723, ROCKY MOUNT, NC 27802-2723
(252) 212-3486
(252) 212-3497
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
313575
MA
163W00000X
Registered Nurse
304575
NC
363LF0000X
Family Nurse Practitioner
Primary
5010581
NC
Other
Enumeration date
11/29/2010
Last updated
06/25/2018
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