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General NPI Number Information
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NPI Number | 1619171550
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Entity Type | Organization
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Legal Business Name | WALTON HOSPITALIST ASSOCIATES
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 ALCOVY ST
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City | MONROE
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State | GA
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Zip | 30655-2140
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 48088
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City | ATHENS
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State | GA
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Zip | 30604-8088
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM E TRAILL
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Credential | DO
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Telephone | --
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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