Provider Demographics
NPI:1831320340
Name:WALTERS, TERRY R
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:R
Last Name:WALTERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33605 HWY 280
Mailing Address - Street 2:
Mailing Address - City:CHILDERSBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35044
Mailing Address - Country:US
Mailing Address - Phone:256-378-7000
Mailing Address - Fax:256-378-0730
Practice Address - Street 1:33605 HWY 280
Practice Address - Street 2:
Practice Address - City:CHILDERSBURG
Practice Address - State:AL
Practice Address - Zip Code:35044
Practice Address - Country:US
Practice Address - Phone:256-378-7000
Practice Address - Fax:256-378-0730
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter