Individual
WALTER PALOMO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 MEDICAL BLVD, SUITE B, STOCKBRIDGE, GA 30281-5053
(770) 389-9944
(770) 389-1973
Mailing address
150 MEDICAL BLVD, SUITE B, STOCKBRIDGE, GA 30281-5053
(770) 389-9944
(770) 389-1973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0580441
AETNA SELECT/US HEALTHC
—
01
—
4542188
AETNA
—
01
—
498289
FEP/BLUE CROSS BLUE SHIEL
—
Enumeration date
08/10/2005
Last updated
07/08/2007
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