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NPI Code Detail

MEDICARE: RUTH E WALTON MD

MEDICARE: RUTH E WALTON 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
12084P0800XPsychiatry Physician0101058112VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2180068OTHERVAANTHEM

General Provider Information

NPI Number : 1477547800
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH E WALTON MD
Provider Business Mailing Address
First Line : 201 S MAIN ST
Second Line : STE 3400
City : DANVILLE
State : VA
Zip : 24541-2932
Country : US
Telephone Number : 434-799-4588
Fax Number : 434-799-4408
Provider Business Practice Location Address
First Line : 3300 ACADEMY AVE
Second Line : ACADEMY CROSSING MEDICAL PLAZA
City : PORTSMOUTH
State : VA
Zip : 23703-3205
Country : US
Telephone Number : 757-483-6404
Fax Number : 757-483-0737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 11/01/2018

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Directions to “ RUTH E WALTON MD” Practice Location

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