Walters, Scott William
Walters, Scott William is an individual health care provider with primary practice located at 200 Patewood Dr Suite A115, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Walters, Scott William can be contacted via phone (864) 454-5628.Contact Information
Primary practice address
200 Patewood Dr Suite A115
Greenville SC 29615-3593
Phone: (864) 454-5628
Fax: (864) 241-9200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 24463 | South Carolina |
Profile Details
| NPI number | 1104941277 |
|---|---|
| LBN Legal business name | Walters, Scott William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jun 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104941277 | NPPES |
| South Carolina | MEDICAID | 244630 |
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