Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 2010-01886 | NC |
NPI | 1750464665 |
---|---|
Provider Name | Dr. Betsy Jones Walker |
First Address | Siler City, NC 27344-7940 |
Second Address | Greensboro, NC 27405-4522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 04/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
182705 | (05) | SC |
G48499 | (02) | SC |