STACEY DIANE WALTERS

VALDOSTA, GA
NPI1275506610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001138)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
Ms. STACEY DIANE WALTERS ATC
1500 N PATTERSON ST DEPT. KPE
VALDOSTA, GA 31698-0100
Phone number: 229-293-6071
Mailing Address
Ms. STACEY DIANE WALTERS ATC
272 RIDGELAND DR
VALDOSTA, GA 31602-7845
Phone number: 229-263-9071
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