Individual
MR. WALTER LEWIS HEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9019 OVERLOOK BLVD STE C1B, BRENTWOOD, TN 37027-2737
(615) 274-9767
Mailing address
9019 OVERLOOK BLVD STE C1B, BRENTWOOD, TN 37027-2737
(615) 274-9767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
03/30/2023
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