Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON WALTERS, MD
ActiveJACKSON WALTERS, MD is a Pain Medicine (Anesthesiology) healthcare provider located in COLUMBUS, Mississippi. NPI 1124274733 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · COLUMBUS, MS
Registration Details
- NPI Number
- 1124274733
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2008 (18.030792385379 yrs)
- Last Updated
- Dec 9, 2019
- License
-
22184 (MS)
Practice Information
- Address
-
670 LEIGH DRCOLUMBUS, MS, 397053014Browse MS providers · Browse ZIP 39705
- Phone
- 6623281012
- Fax
- 6623281507
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.