Individual
JIMMY ALLEN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1237 MCDONALD CHAPEL RD, COLLINS, MS 39428-4094
(601) 765-0002
(601) 765-0003
Mailing address
PO BOX 755, COLLINS, MS 39428-0755
(601) 765-0002
(601) 765-0003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
588
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116671
—
MS
Enumeration date
07/27/2006
Last updated
07/08/2007
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