Individual
ADDIE VIRGINIA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3910
(504) 842-4533
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
339358
LA
207ND0900X
Dermatopathology Physician
ME132942
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
339358
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021674300
—
FL
01
—
JB315Z
MEDICARE PTAN
—
Enumeration date
03/31/2012
Last updated
02/06/2024
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