Individual
DR. JERRY DON WALKUP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2312 KNOB CREEK RD STE 208, JOHNSON CITY, TN 37604-2367
(423) 610-1099
(423) 246-4300
Mailing address
2312 KNOB CREEK RD STE 208, JOHNSON CITY, TN 37604-2367
(423) 610-1099
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
0101256238
VA
Other
Enumeration date
05/17/2011
Last updated
07/17/2024
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