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Organization
MORIKEN
Active
Organization
MORIKEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WALKER (ACCOUNTANT)
(703) 582-5995
Entity
Organization
Contact information
Practice address
6809 SEATTLE SLEW PL, WHITSETT, NC 27377-6001
(336) 215-5055
Mailing address
6809 SEATTLE SLEW PL, WHITSETT, NC 27377-6001
(336) 215-5055
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
NULL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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