Walton, John Edmond

Walton, John Edmond is an individual health care provider with primary practice located at 402 Memorial Drive Extension , Greer SC 29651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Walton, John Edmond can be contacted via phone (864) 877-0779.

Contact Information

Primary practice address
402 Memorial Drive Extension Greer SC 29651
Phone: (864) 877-0779
Fax: (864) 877-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 6530 South Carolina

Profile Details

NPI number 1376632703
LBN Legal business name Walton, John Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 5th, 2007 - about 17 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 1376632703 NPPES
North Carolina Other 89133WF MEDICAID
North Carolina MEDICAID 065306 MEDICAID

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