Provider Information for 1073059994
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JULIA P WALKER
Sex: Female
NPI: 1073059994
Last Updated: 2017-01-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1073059994 | ||||||||
| Enumeration Date | 2017-01-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2100 CHARLIE HALL BLVD CHARLESTON, SC 29414-5832 United States Phone: 843-212-8968 | Fax: | ||||||||
| Primary Practice Address | 2100 CHARLIE HALL BLVD CHARLESTON, SC 29414-5832 United States Phone: 843-212-8968 | Fax: | ||||||||
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