| Charles T Walls Jr, MD | |
|
915 Medical Cir, Myrtle Beach, SC 29572-4116 | |
| (843) 213-1790 | |
| (843) 213-1830 |
| Full Name | Charles T Walls Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 915 Medical Cir, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003886052 | NPI | - | NPPES |
| 110739 | Medicaid | SC | |
| 890684H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | 11073 (South Carolina) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 11073 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T Walls Jr, MD 915 Medical Circle, Myrtle Beach, SC 29572-4116 Ph: (843) 213-1790 | Charles T Walls Jr, MD 915 Medical Cir, Myrtle Beach, SC 29572-4116 Ph: (843) 213-1790 |
Dr. Brian Wesley Watson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1495 Fax: 843-449-6213 | |
Edward L Proctor Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 923 Medical Cir, Myrtle Beach, SC 29572 Phone: 843-503-5442 Fax: 843-449-6213 | |
Dr. Stephen Hammond, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 8170 Rourk St Ste 100, Myrtle Beach, SC 29572 Phone: 843-282-1915 | |
Caleb Vanguilder Scott, Pathology Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 |