Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert William Walters, MD

Individual provider Dermatology Physician · NPI 1548482482

Robert William Walters, MD is a Dermatology in Laurel, Mississippi. Qualified in 2003, 23 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Mississippi and New Mexico.

Years since qualifying
23
Licensed in
ID, MS, NM
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

136 S 15th Ave
Laurel, MS 39440-4124
Phone: (601) 428-8428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1363 Fillmore St Ste A, Twin Falls, ID 83301-3392 — (208) 595-5424
  • 6200 Uptown Blvd Ne, Albuquerque, NM 87110-4159 — (505) 243-7546

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 31916 (MS)
Dermatology Physician Taxonomy 207N00000X · Licence MD2009-0594 (NM)
Dermatology Physician Taxonomy 207N00000X · Licence M-15814 (ID)

Record details

NPI number1548482482
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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