Individual
ROBERT KING WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 SALLY GRAY RD, WAYNESBORO, MS 39367-8937
(601) 604-1409
Mailing address
308 SALLY GRAY RD, WAYNESBORO, MS 39367-8937
(601) 410-8393
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-3654937
TRANSPORT
MS
Enumeration date
02/27/2019
Last updated
02/27/2019
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