RUSSELL WALTERS

JEFFERSON CITY, TN
NPI1952724403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  2489)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2014-02-03
Last Update Date2021-11-01
Business Address
RUSSELL WALTERS PA-C
110 HOSPITAL DR
JEFFERSON CITY, TN 37760-5281
Phone number: 865-471-2300
Mailing Address
RUSSELL WALTERS PA-C
1431 CENTERPOINT BLVD SUITE 100
KNOXVILLE, TN 37932-1984
Phone number: 865-985-7012
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