Individual
MELVIN BLAKE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., PCSS
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
(601) 321-2476
Mailing address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
(601) 321-2476
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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