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Individual

CARLA MARIE WALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4747 HARVEST KNOLL LN, MEMPHIS, TN 38125-4714
(901) 338-8367
Mailing address
1910 MADISON AVE # 2114, MEMPHIS, TN 38104-2620
(901) 338-8367

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
191403
TN

Other

Enumeration date
07/23/2019
Last updated
07/23/2019
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