JEFFREY WALTZ

CHARLESTON, SC
NPI1104275528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  39669)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  LL39669)
2085R0202X Radiology, Diagnostic Radiology
(Licence: NC  2021-02770)
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101273384)
Enumeration Date2016-06-07
Last Update Date2025-10-02
Business Address
JEFFREY WALTZ MD
171 ASHLEY AVE
CHARLESTON, SC 29425-4444
Phone number: 843-792-6200
Mailing Address
JEFFREY WALTZ MD
PO BOX 85378
CHICAGO, IL 60689-5378
Phone number: 336-274-6682