Individual
DALTON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1000
Mailing address
5200 GREYSTONE SUMMIT DR APT 605, COLUMBUS, GA 31909-7549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028254
GA
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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