| John Edmond Walton, MD | |
|
402 Memorial Drive Extension, Greer, SC 29651 | |
| (864) 877-0779 | |
| (864) 877-7801 |
| Full Name | John Edmond Walton |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 59 Years |
| Location | 402 Memorial Drive Extension, Greer, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376632703 | NPI | - | NPPES |
| 89133WF | Other | NC | MEDICAID |
| 065306 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 6530 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| St Lukes Hospital | Columbus, NC | Hospital |
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Entity Name | Blue Ridge Urology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487751699 PECOS PAC ID: 0941103592 Enrollment ID: O20040130000231 |
| Mailing Address | Practice Location Address |
|---|---|
| John Edmond Walton, MD 402 Memorial Drive Extension, Greer, SC 29651 Ph: (864) 877-0779 | John Edmond Walton, MD 402 Memorial Drive Extension, Greer, SC 29651 Ph: (864) 877-0779 |
Robert Douglas Devore, MD Urology Medicare: Medicare Enrolled Practice Location: 340 Medical Pkwy, Suite 200, Greer, SC 29650 Phone: 864-797-9400 Fax: 864-797-9402 | |
David Scott Donaldson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 318 Memorial Dr, Greer, SC 29650 Phone: 864-438-6811 Fax: 864-280-7753 |