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Individual

GRIFFITH GUERRY WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1412 ELBA HWY, TROY, AL 36079-6020
(334) 566-8822
(334) 674-0410
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11496
SC
207Q00000X
Family Medicine Physician
Primary
23055
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145394
AL
Enumeration date
07/07/2006
Last updated
06/14/2022
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