NPI 1245475805

Walton Medical Staffin. LLC

Organisation Health Maintenance Organization Tifton, GA

Practice location

Address: 834 Armour Rd, Tifton, GA 31794-4519
Phone: (800) 231-6031
Mailing address: PO Box 550, Tifton, GA 31793-0550

Authorised official

Name: Delvega Walton
Title: Ceo
Phone: (800) 231-6031

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 3131 (GA)

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Registry record

NPI: 1245475805
Entity type: Organization
NPI issued: 11 Dec 2008
Record last updated: 11 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.