Individual
DR. THOMAS R. WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY, STE A6, COLUMBUS, GA 31904-6802
(706) 596-4225
(706) 323-3425
Mailing address
PO BOX 7217, COLUMBUS, GA 31908-7217
(706) 596-4225
(706) 323-3425
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
035537
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
035537
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100941
—
AL
05
—
388406095
—
GA
01
—
511I200027
MEDICARE PTAN
GA
Enumeration date
06/14/2006
Last updated
07/27/2015
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