Individual
WALTER DEWEY BRANCH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HOSPITAL ROAD, ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2720
(708) 787-8176
Mailing address
4500 RIDGE PINE DR, EVANS, GA 30809-4466
(706) 364-6886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03880
GA
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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