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NPI Code Detail

MEDICARE: DR. JAMES WIGGINS WALTER MD

MEDICARE: DR. JAMES WIGGINS WALTER MD
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician15016AL

General Provider Information

NPI Number : 1366436149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES WIGGINS WALTER MD
Provider Business Mailing Address
First Line : 6600 VAN AALST BLVD
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-2102
Country : US
Telephone Number : 334-430-1486
Fax Number :
Provider Business Practice Location Address
First Line : 6600 VAN AALST BLVD
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-2102
Country : US
Telephone Number : 334-430-1486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/15/2025

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