Dr. Walter Frizzell Fletcher, M.D.
Family Medicine in Martin, TN. Individual provider (NPI-1).
NPI number1043200280
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1043200280
- Entity type
- Individual (NPI-1)
- Name
- Dr. Walter Frizzell Fletcher
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2005
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25879 | TN | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 25879 | TN | |
| 208600000X | Surgery | 25879 | TN | |
| 207P00000X | Emergency Medicine | 25879 | TN | |
| 207R00000X | Internal Medicine | 25879 | TN | |
| 208000000X | Pediatrics | 25879 | TN | |
| 208100000X | Physical Medicine & Rehabilitation | 25879 | TN |
Practice location
117 Kennedy DrMartin, TN 38237-3309
Phone 731-587-9511 · Fax 731-587-0785
Mailing address
424 W 4th StWaterloo, IL 62298-1378
Phone 877-748-7030 · Fax 877-264-9140
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