Charles T Walls JR. MD

NPI 1003886052 - Pathology - 207ZD0900X

NPI Details
NPI 1003886052
Gender Male
Enumeration Date 01/24/2006
Last Updated 08/10/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
MYRTLE BEACH SC, 29572-4607, US
Phone (843) 449-6521
Business Location
PO BOX 60070
N CHARLESTON SC, 29419-0070, US
Phone (843) 449-6521
Taxonomy Code 207ZD0900X
License State South Carolina
License Number 11073
Remove 1003886052 NPI Number

According to our database, Charles T Walls JR. MD NPI is 1003886052, taxonomy code is 207ZD0900X and license number is 11073, license state is located at South Carolina. Charles T Walls JR. MD physically located at 809 82nd Parkway, Myrtle Beach SC, 29572-4607. NPI Number Charles T Walls JR. MD has the Individual type.

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1003886052 NPI number is provided on an as is basis without warranty of any kind. 1003886052 is maintained by the National Plan & Provider Enumeration System. The contents of Charles T Walls JR. MD are for informational purposes only.