Individual
MICAH R. WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 FOUNTAINS BLVD, MADISON, MS 39110-6343
(769) 300-0700
(769) 300-0707
Mailing address
120 FOUNTAINS BLVD, MADISON, MS 39110-6343
(769) 300-0700
(769) 300-0707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24618
MS
Other
Enumeration date
06/03/2014
Last updated
05/28/2025
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