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WALTER WILSON STARKEY IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8640
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0795
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
85473
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430056820
RAILROAD-MEDICARE
NC
05
8050279
NC
Enumeration date
02/28/2007
Last updated
02/07/2017
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