Individual
WILLIAM MICHAEL WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 S GOOSE CREEK BLVD STE A, GOOSE CREEK, SC 29445-3136
(843) 764-3081
Mailing address
1055 ASHLEY GARDEN BLVD, CHARLESTON, SC 29414-9121
(240) 434-8993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11457
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11457
NC DENTAL LICENSE
NC
Enumeration date
06/19/2019
Last updated
06/30/2021
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