WALTER REVELL JR., MD
Surgery
Active
Individual
NPI: 1275641995
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | 11191 (SC) |
Frequently Asked Questions
NPI 1275641995 is the National Provider Identifier for WALTER REVELL JR., MD, a Surgery provider located in Vidalia, GA. This NPI was enumerated on August 25, 2006.
WALTER REVELL JR., MD practices at 305 W 1ST ST, Vidalia, GA 30474.
Quick Facts
- NPI
- 1275641995
- Type
- Individual
- Enumerated
- Aug 25, 2006
- Last Updated
- May 1, 2018
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