Individual
MR. ROBERT WALTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
48 CENTENNIAL WAY, GREENVILLE, SC 29605-4662
(864) 522-8000
(864) 522-8005
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
24357
SC
363LF0000X
Family Nurse Practitioner
Primary
24357
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7290
—
SC
Enumeration date
11/10/2020
Last updated
02/25/2021
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