Individual
WALTER BURKE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621-1725
(864) 512-1916
Mailing address
2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621-1725
(864) 512-1916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82600
SC
Other
Enumeration date
04/08/2019
Last updated
10/05/2022
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