Individual
MARK STEVEN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
7107 CHARLESTON HIGHWAY, BOWMAN, SC 29018
(803) 829-2547
Mailing address
289 COUNTRY CLUB BLVD, SAINT GEORGE, SC 29477-7507
(843) 563-3426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5530
SC
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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