Individual
CHARLES EDWARD WALTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
102 W MAIN ST, WALLACE, NC 28466-2902
(910) 788-4242
(910) 809-4641
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02027
NC
363AM0700X
Medical Physician Assistant
0010-02027
NC
Other
Enumeration date
09/22/2009
Last updated
06/06/2025
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