Organization
W G WALTERS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GARY WALTERS MD (PRESIDENT CEO)
(865) 482-1599
Entity
Organization
Contact information
Practice address
665 EMORY VALLEY ROAD, SUITE B, OAK RIDGE, TN 37830
(865) 482-1599
(865) 483-9390
Mailing address
665 EMORY VALLEY ROAD, SUITE B, OAK RIDGE, TN 37830
(865) 482-1599
(865) 483-9390
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0070000
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150144
—
TN
Enumeration date
12/05/2006
Last updated
08/30/2007
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