Individual
BENJAMIN CHAD WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
470 LAKE CONCORD RD NE, CONCORD, NC 28025-2965
(704) 794-6601
(704) 794-6670
Mailing address
PO BOX 24905, WINSTON SALEM, NC 27114-4905
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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