Provider Demographics
NPI:1457363491
Name:WALTERS, CYNTHIA V (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:V
Last Name:WALTERS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1004 1ST ST N
Mailing Address - Street 2:STE 300
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8604
Mailing Address - Country:US
Mailing Address - Phone:205-715-5910
Mailing Address - Fax:205-715-5928
Practice Address - Street 1:1004 1ST ST N
Practice Address - Street 2:SUITE 300
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8766
Practice Address - Country:US
Practice Address - Phone:205-664-7970
Practice Address - Fax:205-664-1890
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2018-04-16
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Provider Licenses
StateLicense IDTaxonomies
AL14117207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051529019Medicaid