Walls, Jay David

Walls, Jay David is an individual health care provider with primary practice located at 3 Butternut Dr Ste B, Greenville SC 29605-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Walls, Jay David can be contacted via phone (864) 241-7272.

Contact Information

Primary practice address
3 Butternut Dr Ste B Greenville SC 29605-4653
Fax: (864) 672-7852
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 17084 South Carolina

Profile Details

NPI number 1821093956
LBN Legal business name Walls, Jay David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 15th, 2021 - about 3 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 1821093956 NPPES
South Carolina MEDICAID N35782

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