Individual
DR. RONALD DEAN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
293 OLMSTED BLVD, SUITE #1, PINEHURST, NC 28374-9023
(910) 255-0033
(910) 255-0036
Mailing address
PO BOX 18384, BELFAST, ME 04915-4078
(910) 255-0033
(910) 255-0036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200101405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200101405
STATE MEDICAL LISCENCE #
NC
Enumeration date
07/25/2006
Last updated
03/07/2017
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