Walter J Revell JR., MD

NPI #1275641995 in Vidalia, Georgia

Provider Information

NPI Number: 1275641995
Entity Type: Individual
Name: Walter J Revell JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 25, 2006
Last Updated: May 1, 2018

Practice Location

Address: 305 W 1ST ST
City: Vidalia
State: Georgia
ZIP Code: 30474-3302
Phone: (912) 538-9080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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