Individual
JEFFREY SCOTT WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6025 STAGE RD, SUITE 44, BARTLETT, TN 38134-8374
(901) 373-4207
(901) 373-4208
Mailing address
6025 STAGE RD, SUITE 44, BARTLETT, TN 38134-8374
(901) 373-4207
(901) 373-4208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN2823
TN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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