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Individual

BRIAN N WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
322 HOSPITAL BLVD, JACKSON, TN 38305
(731) 668-1668
(731) 668-6720
Mailing address
322 HOSPITAL BLVD, JACKSON, TN 38305
(731) 668-1668
(731) 668-6720

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01943
TN
207RH0003X
Hematology & Oncology Physician
17418
MS
207RH0003X
Hematology & Oncology Physician
DO1943
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0126632
MS
05
3001465
TN
Enumeration date
01/24/2006
Last updated
02/28/2013
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