MEDICARE: ARTHUR KNIGHT WALTER M.D.

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
1	2085R0202X	Diagnostic Radiology Physician	5115	SC
2	2085R0204X	Vascular & Interventional Radiology Physician	5115	SC

General Provider Information

NPI Number	:	1295104073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR KNIGHT WALTER M.D.

Provider Business Mailing Address
First Line	:	737 RIVER RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-8809
Country	:	US
Telephone Number	:	803-730-2937
Fax Number	:	803-781-4207

Provider Business Practice Location Address
First Line	:	737 RIVER RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-8809
Country	:	US
Telephone Number	:	803-730-2937
Fax Number	:	803-781-4207

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2015
Last Update Date	:	09/22/2015

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