Donald R Walters
General Practice Physician
212 N Church St
Mountain City
, Tennessee 37683-1326
Donald R Walters
General Practice Physician
212 N Church St
Mountain City
, Tennessee 37683-1326
(423) 727-0209
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Donald R Walters
- 212 N Church St
- Mountain City, TN
- Zip : 37683-1326
- Fax : (423) 727-0209
- Phone : (423) 727-7711
Second Address
- Donald R Walters
- 212 N Church St
- Mountain City, TN
- Zip : 37683-1326
- Fax : (423) 727-0209
- Phone : (423) 727-7711
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | MD9597 | TN |
National Provider Identifier
| NPI | 1033220249 |
|---|---|
| Provider Name | Donald R Walters |
| First Address | Mountain City, TN 37683-1326 |
| Second Address | Mountain City, TN 37683-1326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 19/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2001327 | (05) | TN |
| 621120255 | TAX ID (01) | TN |
| BO2849 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.