Dr William J Walters, MD | |
923 E Central Ave, La Follette, TN 37766-2768 | |
(423) 907-1200 | |
Not Available |
Full Name | Dr William J Walters |
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Gender | Male |
Speciality | Surgery |
Location | 923 E Central Ave, La Follette, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740258656 | NPI | - | NPPES |
3184458 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 11726 (Tennessee) | Primary |
208D00000X | General Practice | 11726 (Tennessee) | Secondary |
Entity Name | Healogics Specialty Physicians Of Tennessee, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932527090 PECOS PAC ID: 2961720313 Enrollment ID: O20150414002280 |
Mailing Address | Practice Location Address |
---|---|
Dr William J Walters, MD 5220 Belfort Rd Ste 130, Jacksonville, FL 32256-6017 Ph: (904) 446-3451 | Dr William J Walters, MD 923 E Central Ave, La Follette, TN 37766-2768 Ph: (423) 907-1200 |
Robert J. Lloyd, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 919 E Central Ave, Ste 201, La Follette, TN 37766 Phone: 423-907-1680 Fax: 423-907-1684 | |
Dr. Rosemary Chickos, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 919 E Central Ave Ste 201, La Follette, TN 37766 Phone: 423-907-1680 Fax: 423-907-1684 |