Individual
WALTER J BOYANTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 SOUTH MAIN ST, ESTILL SPRINGS, TN 37330-0700
(931) 649-5139
(931) 649-2766
Mailing address
300 SOUTH MAIN STREET, ESTILL SPRINGS, TN 37330-0700
(931) 649-5139
(931) 649-2766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000017539
TN
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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