Individual
OLIVIA JAYNE MOORE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1114 SHELTON BEACH RD, SARALAND, AL 36571-3016
(251) 633-0123
Mailing address
1114 SHELTON BEACH RD, SARALAND, AL 36571-3016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.2490
AL
Other
Enumeration date
08/09/2023
Last updated
01/30/2025
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