Individual
HENRY C WALTERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 DAVIE AVE, STATESVILLE, NC 28677-3511
(704) 372-2677
(704) 660-4625
Mailing address
1217 DAVIE AVE, STATESVILLE, NC 28677-3511
(704) 372-2677
(704) 660-4625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22859
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985531
—
NC
Enumeration date
01/11/2006
Last updated
10/11/2017
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