Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 26701 | MS |
Y | 208600000X | Surgeon | 26701 | MS |
N | 2082S0105X | Plastic Hand Surgeon | 26701 | MS |
NPI | 1245598325 |
---|---|
Provider Name | Dr. Marc Edward Walker |
First Address | Jackson, MS 39216-4500 |
Second Address | Jackson, MS 39216-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 04/02/2022 |