Individual
DR. ELLIOTT BLAIR WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
WINN ARMY COMMUNITY HOSPITAL - 1061 HARMON AVE, STE 1D03, FT. STEWART, GA 31314-5611
(912) 435-5696
Mailing address
1061 HARMON AVENUE STE 1D0, WINN ARMY COMMUNITY HOSPITAL-, FORT STEWART, GA 31314-5611
(912) 435-5696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1215
NC
152WC0802X
Corneal and Contact Management Optometrist
Primary
1215
NC
Other
Enumeration date
05/14/2007
Last updated
10/14/2010
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