Walls, Charles T
Walls, Charles T is an individual health care provider with primary practice located at 915 Medical Cir , Myrtle Beach SC 29572-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Walls, Charles T can be contacted via phone (843) 213-1790.Contact Information
Primary practice address
915 Medical Cir
Myrtle Beach SC 29572-4116
Phone: (843) 213-1790
Fax: (843) 213-1830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 11073 | South Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 11073 | South Carolina |
Profile Details
| NPI number | 1003886052 |
|---|---|
| LBN Legal business name | Walls, Charles T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003886052 | NPPES |
| South Carolina | MEDICAID | 110739 | |
| South Carolina | MEDICAID | 890684H |
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