Individual
RYAN ALAN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 POWELL DR, LEXINGTON, SC 29072-9203
(803) 957-8400
(803) 957-1939
Mailing address
3209 COLONIAL DRIVE, FAMILY MEDICAL CENTER, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40875
SC
207Q00000X
Family Medicine Physician
LL40875
SC
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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