Individual
DAVID RODWELL WALTERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
112 TWELVE MILE DR, LEXINGTON, SC 29072-3964
(803) 920-7634
Mailing address
PO BOX 1922, LEXINGTON, SC 29071-1922
(803) 920-7634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
052
SC
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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