Individual
GAIL M WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1018 HIGHWAY 321 N, LENOIR CITY, TN 37771-6683
(865) 986-4450
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19847
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080082031
RR MEDICARE PIN
TN
05
—
3098710
—
TN
Enumeration date
06/25/2006
Last updated
08/17/2020
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