Anthony Joseph Walters CLINICAL SOCIAL WORK

NPI 1720380843 - Social Worker - 1041C0700X

NPI Details
NPI 1720380843
Gender Male
Enumeration Date 11/22/2010
Last Updated 11/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
515B CITY BOULEVARD
WAYCROSS VA OUTREACH CLINIC
WAYCROSS GA, 31501-8016, US
Phone (912) 279-4400
Fax (912) 279-4448
Business Location
515B CITY BOULEVARD
WAYCROSS RURAL INITATIVE CLINIC
WAYCROSS GA, 31501-8016, US
Phone (912) 279-4400
Fax (912) 279-4448
Toxanomy
Taxonomy Code 1041C0700X
License State Georgia
License Number CSW004249
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According to our database, Mr. Anthony Joseph Walters CLINICAL SOCIAL WORK NPI is 1720380843, taxonomy code is 1041C0700X and license number is CSW004249, license state is located at Georgia. Anthony Joseph Walters CLINICAL SOCIAL WORK physically located at 515b City Boulevard, Waycross GA, 31501-8016. NPI Number Anthony Joseph Walters CLINICAL SOCIAL WORK has the Individual type.

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1720380843 NPI number is provided on an as is basis without warranty of any kind. 1720380843 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Joseph Walters CLINICAL SOCIAL WORK are for informational purposes only.