Individual provider · Type 1 NPI

Walter J. Revell Jr., MD

Surgery Physician · Vidalia, GA

NPI number 1275641995 Active

Practice location

305 W 1st St
Vidalia, GA 30474-3302

Fax (912) 538-9085

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X11191 (SC)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1275641995

Walter J. Revell Jr., MD's National Provider Identifier is 1275641995, issued on Aug 25, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Vidalia, GA. The record was last updated on May 1, 2018.