George, James Walton

George, James Walton is an individual health care provider with primary practice located at 1816 N Washington St Ste 103, Tullahoma TN 37388-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. George, James Walton can be contacted via phone (931) 454-9810.

Contact Information

Primary practice address
1816 N Washington St Ste 103 Tullahoma TN 37388-2477
Phone: (931) 454-9810
Fax: (931) 393-1020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00000162099 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD0000016209 Tennessee

Profile Details

NPI number 1609850304
LBN Legal business name George, James Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 11th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609850304 NPPES
Tennessee Other 4026260 BLUECROSS
Tennessee Other 50085011 BLUECROSS
Tennessee MEDICAID 3015238 BLUECROSS

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