Individual
DR. PHILLIP GENE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3995 COVINGTON HWY, DECATUR, GA 30032-2645
(404) 284-6911
(404) 288-4165
Mailing address
3995 COVINGTON HWY, DECATUR, GA 30032-2645
(404) 284-6911
(404) 288-4165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008971
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00213056A
—
GA
01
—
9180345
AMERIGROUP MEDICADE
GA
Enumeration date
06/21/2006
Last updated
10/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us