Individual
SUSAN MICHELLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, BOX 800710, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0629
(434) 982-0019
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101269825
VA
207RC0000X
Cardiovascular Disease Physician
0101269825
VA
Other
Enumeration date
03/23/2016
Last updated
08/29/2022
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