Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 3806 | AL |
NPI | 1013165661 |
---|---|
Provider Name | Dr. Joseph A. Walker JR. |
First Address | Anniston, AL 36207-5744 |
Second Address | Anniston, AL 36207-5744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 08/09/2008 |