Individual
DR. WALTER GORDON IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
77 W GIBSON ST, HARTWELL, GA 30643-1845
(706) 856-6973
(706) 856-6976
Mailing address
77 W GIBSON ST, HARTWELL, GA 30643-1845
(706) 856-6973
(706) 856-6976
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
013566
GA
207R00000X
Internal Medicine Physician
Primary
013566
GA
Other
Enumeration date
01/24/2007
Last updated
05/06/2014
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