Individual
DR. JADE MADISON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1800 AIRPARK DR, MYRTLE BEACH, SC 29577-1412
(843) 477-0177
Mailing address
1800 AIRPARK DR, MYRTLE BEACH, SC 29577-1412
(843) 477-0177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1771
SC
152W00000X
Optometrist
Primary
2369
NC
152WL0500X
Low Vision Rehabilitation Optometrist
1771
SC
Other
Enumeration date
05/31/2013
Last updated
01/28/2022
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