Individual provider · Type 1 NPI

Tammy Elaine Walters, PA-C

Medical Physician Assistant · South Hill, VA

NPI number 1003920968 Active

Practice location

125 Buena Vista Cir, Pavillion
South Hill, VA 23970-1431

Call (434) 447-3151 Map

Mailing address

100 State St
Emporia, VA 23847-2040

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110002186 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1003920968

Tammy Elaine Walters, PA-C's National Provider Identifier is 1003920968, issued on Aug 18, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in South Hill, VA. The record was last updated on Jul 8, 2007.