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
Phone: (706) 612-9401
Fax: (706) 612-9420
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1902804784 | NPPES |
| Georgia | MEDICAID | 000532188E | |
| Georgia | MEDICAID | 000532188I |
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