Organization
H. CARROLL WALKER, JR., DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCY REDUS (OFFICE MGR)
(662) 323-9726
Entity
Organization
Contact information
Practice address
100 BRANDON RD STE W, STARKVILLE, MS 39759-2571
(662) 323-9726
(662) 323-9727
Mailing address
100 BRANDON RD STE W, STARKVILLE, MS 39759-2571
(662) 323-9726
(662) 323-9727
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
PEDO-006-74
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09205284
—
MS
Enumeration date
11/15/2007
Last updated
11/15/2007
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