Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2006-00036 | NC |
N | 207RH0003X | Hematology & Oncology | 35085451 | OH |
NPI | 1013904358 |
---|---|
Provider Name | Dr. Paul R Walker |
First Address | Greenville, NC 27835-8423 |
Second Address | Greenville, NC 27834-4300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 13/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0920605 | (05) | OH |
1013904358 | (05) | NC |
14196 | BCBS NC (01) | NC |
C24859 | (02) |