| Doctor Name: | DR. WILLIAM J WALTERS |
| NPI Number: | 1740258656 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 11726 |
| Business Practice Address: | 923 E Central Ave La Follette, TN - 377662768 |
| Business Phone Number: | 4239071200 |
| Business Fax Number: | |
| Mailing Address: | 5220 Belfort Rd Ste 130, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322566017 |
| Phone Number: | 9044463451 |
| Fax Number: | 9044463013 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11726 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |