Individual
DR. CHARLES CLAYTON WALKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4405 JUNCTION PARK DR, WILMINGTON, NC 28412-2263
(910) 350-6944
(910) 392-3023
Mailing address
4405 JUNCTION PARK DR, WILMINGTON, NC 28412-2263
(910) 350-6944
(910) 392-3023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822360
UNITED CONCORDIA
NC
05
—
8990020
—
NC
01
—
90020
BCBS
NC
Enumeration date
05/09/2007
Last updated
07/08/2007
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