Walton, Gary Richard

Walton, Gary Richard is an individual health care provider with primary practice located at 1150 Golden Way , Watkinsville GA 30677-7712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Walton, Gary Richard can be contacted via phone (706) 612-9401.

Contact Information

Primary practice address
1150 Golden Way Watkinsville GA 30677-7712
Fax: (706) 612-9420
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036630 Georgia

Profile Details

NPI number 1902804784
LBN Legal business name Walton, Gary Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jun 21st, 2022 - about 2 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 1902804784 NPPES
Georgia MEDICAID 000532188E
Georgia MEDICAID 000532188I

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