Provider Demographics
NPI:1245684315
Name:WALTERS, DAREN RASHAD (MD)
Entity type:Individual
Prefix:DR
First Name:DAREN
Middle Name:RASHAD
Last Name:WALTERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1298 ATLANTIC DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5356
Mailing Address - Country:US
Mailing Address - Phone:601-540-6521
Mailing Address - Fax:
Practice Address - Street 1:3379 PEACHTREE RD NE STE 230
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1020
Practice Address - Country:US
Practice Address - Phone:404-478-8785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92713207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology