Individual
PAUL A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 BAPTIST CLAY DR, SUITE 230, FLEMING ISLAND, FL 32003-8502
(904) 592-1068
(904) 541-4728
Mailing address
PO BOX 41113, JACKSONVILLE, FL 32203-1113
(904) 202-5111
(904) 391-5836
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
043504
GA
207Y00000X
Otolaryngology Physician
Primary
ME123209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00744983A
—
GA
05
—
014718200
—
FL
Enumeration date
08/24/2005
Last updated
10/10/2016
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