Individual
THOMAS ATCHLEY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
11634
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116577
—
MS
05
—
156634
—
AL
05
—
1677701
—
LA
Enumeration date
06/21/2006
Last updated
03/17/2014
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