| Donald R Walters Mdpc | |
|
212 N Church St Mountain City TN 37683-1368 | |
| (423) 727-7711 | |
| (423) 727-0209 |
| Full Name | Donald R Walters Mdpc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 212 N Church St, Mountain City, Tennessee |
| Authorized Official Name and Position | Donald R Walters (OWNER) |
| Authorized Official Contact | 4237277711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald R Walters Mdpc 212 N Church St Mountain City TN 37683-1368 Ph: (423) 727-7711 | Donald R Walters Mdpc 212 N Church St Mountain City TN 37683-1368 Ph: (423) 727-7711 |
| NPI Number | 1356529739 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356529739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD9597 (Tennessee) | Primary |
Donald F Tarr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Cold Springs Rd, Mountain City, TN 37683 Phone: 423-727-7743 Fax: 423-727-5509 | |