Individual
BILLY RAY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8586
Mailing address
3550 HIGHWAY 468 W, P.O. BOX 157-A FISCAL SERVICES, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8586
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R861812
MS
Other
Enumeration date
04/16/2015
Last updated
07/21/2022
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