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NPI Code Detail

MEDICARE: DR. PATINA SHARESE WALTON-BATTLE DNP APRN FNP-C PMHNP

MEDICARE: DR. PATINA SHARESE WALTON-BATTLE DNP APRN FNP-C PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner17594SC

General Provider Information

NPI Number : 1093423410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATINA SHARESE WALTON-BATTLE DNP APRN FNP-C PMHNP
Provider Business Mailing Address
First Line : 5050 SUSSEX DR
Second Line :
City : EVANS
State : GA
Zip : 30809-8231
Country : US
Telephone Number : 404-735-5559
Fax Number :
Provider Business Practice Location Address
First Line : 501 GARY HILL RD
Second Line :
City : EDGEFIELD
State : SC
Zip : 29824-4503
Country : US
Telephone Number : 803-637-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 11/14/2022

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