Individual provider · Type 1 NPI

Charles Bradley Walters, PA-C

Medical Physician Assistant · Mobile, AL

NPI number 1912521444 Active

Practice location

181 Hillcrest Rd
Mobile, AL 36608-5306

Fax (251) 660-6333

Mailing address

PO Box 746450
Atlanta, GA 30374-6450

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2360 (AL)
Medical Physician Assistant Primary 363AM0700X2360 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1912521444

Charles Bradley Walters, PA-C's National Provider Identifier is 1912521444, issued on Jun 1, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mobile, AL. The record was last updated on Mar 29, 2024.