Organization
EDGEWATER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN A WALKER D.O. (PHYSICIAN/PARTNER)
(803) 396-7900
Entity
Organization
Contact information
Practice address
1162 FORT MILL HWY, SUITE A, FORT MILL, SC 29707-7511
(803) 396-7900
(803) 396-2963
Mailing address
1162 FORT MILL HWY, SUITE A, FORT MILL, SC 29707-7511
(803) 396-7900
(803) 396-2963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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