Walter L Holton, MD | |
604 Amanda St, Manteo, NC 27954 | |
(252) 473-3478 | |
Not Available |
Full Name | Walter L Holton |
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Gender | Male |
Speciality | Family Medicine |
Location | 604 Amanda St, Manteo, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992769178 | NPI | - | NPPES |
01408 | Other | NC | BCBS |
8943465 | Medicaid | NC | |
561212625 | Other | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19609 (North Carolina) | Primary |
Entity Name | Outer Banks Professional Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
Mailing Address | Practice Location Address |
---|---|
Walter L Holton, MD Po Box 1045, Manteo, NC 27954 Ph: (252) 473-3478 | Walter L Holton, MD 604 Amanda St, Manteo, NC 27954 Ph: (252) 473-3478 |
Dr. David Ryan Worthen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Amanda St, Manteo, NC 27954 Phone: 252-473-3478 Fax: 252-473-3600 | |
Dr. Johnny Lee Farrow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Us Highway 64, Manteo, NC 27954 Phone: 252-473-2500 Fax: 252-473-1222 | |
Ann C. Sumners, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Amanda St, Manteo, NC 27954 Phone: 252-473-3478 Fax: 252-473-3600 |