Individual
DR. WILLIAM J WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11726
TN
208D00000X
General Practice Physician
11726
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3184458
—
TN
Enumeration date
03/08/2006
Last updated
07/10/2015
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