Search › Georgia › Surgery Physician
Walter Revell, MD
NPI 1275641995 · on the registry since 2006
Practice
- Address
- 305 W 1st St
Vidalia, GA 30474 - Phone
- (912) 538-9080
- Fax
- (912) 538-9085
- Organisation at this address
- Peterson Dermatology, P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia