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Individual

REBECCA HUTT WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
6263 POPLAR AVE, MEMPHIS, TN 38119-4701
(901) 761-6157
Mailing address
PO BOX 381587, GERMANTOWN, TN 38183-1587
(901) 761-6157
(901) 761-4145

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1320
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3158460
BCBST
TN
05
3306297
TN
Enumeration date
03/01/2006
Last updated
11/05/2019
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