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Individual

STANLEY G WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22580 HIGHWAY 76 E, SUITE 100, LAURENS, SC 29360-8439
(864) 833-5986
(864) 833-0599
Mailing address
22580 HIGHWAY 76 E, SUITE 100, LAURENS, SC 29360-8439
(864) 833-5986
(864) 833-0599

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23601
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236015
SC
Enumeration date
06/13/2006
Last updated
12/28/2021
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